Organization
ATYPICAL INFANT MORTIVATION
Active
Other names
AIM
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANIE J HUGGINS (ECO)
(408) 559-1400
Entity
Organization
Contact information
Practice address
4115 JACKSOL DR, STE 5, SAN JOSE, CA 95124-3312
(408) 559-1400
(408) 559-1554
Mailing address
4115 JACKSOL DR, STE 5, SAN JOSE, CA 95124-3312
(408) 559-1400
(408) 559-1554
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
H10175
CA
252Y00000X
Early Intervention Provider Agency
Primary
H36632
CA
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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