Organization
VA
Active
Other names
Vetrans Affire
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMMIE THOMPSON ASW (SOCIAL WORKER)
(650) 468-5805
Entity
Organization
Contact information
Practice address
80 GREAT OAKS BLVD, SAN JOSE, CA 95119
(650) 493-5000
Mailing address
80 GREAT OAKS BLVD, SAN JOSE, CA 95119-1310
(650) 493-5000
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
ASW59763
CA
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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