Organization
MOMENTUM FOR MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY MCCANN (CPRP)
(408) 286-8988
Entity
Organization
Contact information
Practice address
86 SOUTH 14TH STREET, SAN JOSE, CA 95112
(408) 938-8500
(408) 286-8988
Mailing address
86 SOUTH 14TH STREET, SAN JOSE, CA 95112
(408) 938-8500
(408) 286-8988
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
07/14/2022
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