Organization
LIFEMOVES - AUTUMN SATELLITE CLINIC
Active
Parent organization
LIFEMOVES
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEMOVES
Authorized official
MR. CRAIG GARBER (CFO)
(650) 685-5880
Entity
Organization
Contact information
Practice address
263 N AUTUMN ST, SAN JOSE, CA 95110
(650) 685-5880
Mailing address
181 CONSTITUTION DR, MENLO PARK, CA 94025-1106
(650) 685-5880
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/21/2016
Last updated
06/01/2018
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