Organization
COMMUNITY CENTER FOR HEALTH AND WELLNESS
Active
Parent organization
SOFIA UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOFIA UNIVERSITY
Authorized official
MS. DIANA JO LINN MFT (EXECUTIVE DIRECTOR)
(650) 855-8898
Entity
Organization
Contact information
Practice address
744 SAN ANTONIO RD, SUITE # 22/24, PALO ALTO, CA 94303-4632
(650) 855-8898
Mailing address
744 SAN ANTONIO RD, SUITE # 22/24, PALO ALTO, CA 94303-4632
(650) 855-8898
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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