Organization
GUNDERSON HIGH SCHOOL
Active
Organization
GUNDERSON HIGH SCHOOL
Active
Parent organization
GARDNER FAMILY CARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARDNER FAMILY CARE CORPORATION
Authorized official
LOREN GISSIBLE LCSW (PROGRAM COORDINATOR)
(408) 287-6200
Entity
Organization
Contact information
Practice address
622 GAUNDABERT LN, SAN JOSE, CA 95136-2830
(408) 287-6200
Mailing address
160 E VIRGINIA ST STE 280, SAN JOSE, CA 95112-5817
(408) 287-6200
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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