Organization
HOI QUAN CUU LONG- MEKONG COMMUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MINH NGOC TA LCSW (EXEC. DIRECTOR)
(408) 937-1553
Entity
Organization
Contact information
Practice address
2203 TULLY RD, SAN JOSE, CA 95122-1348
(408) 937-1553
Mailing address
2203 TULLY RD, SAN JOSE, CA 95122-1348
(408) 937-1553
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1006429
CA
Other
Enumeration date
02/28/2007
Last updated
06/17/2008
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