Organization
GREENE MARRIAGE AND FAMILY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY A GREENE LMFT (PRESIDENT/TREASURER)
(650) 564-4672
Entity
Organization
Contact information
Practice address
881 FREMONT AVE STE B8, LOS ALTOS, CA 94024-5637
(650) 564-4672
Mailing address
881 FREMONT AVE STE B8, LOS ALTOS, CA 94024-5637
(650) 564-4672
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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