Organization
BAY AREA BEHAVIORAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KELLY LAM (OWNER)
(408) 586-8654
Entity
Organization
Contact information
Practice address
4423 FORTRAN COURT, #136, SAN JOSE, CA 95134
(408) 586-8654
Mailing address
4423 FORTRAN COURT, #136, SAN JOSE, CA 95134
(408) 586-8654
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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