Organization
COUNTY OF SANTA CLARA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE HO (MFT/PROGRAM MANAGER)
(408) 885-6231
Entity
Organization
Contact information
Practice address
820 ENBORG COURT, SAN JOSE, CA 95128
(408) 207-3138
Mailing address
2120 RAILROAD AVENUE #103-205, PITTSBURG, CA 94565
(408) 207-3138
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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