Organization
MOMENTUM FOR MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE C DITIBERIO ASW, PPSC (CLINICIAN I)
(408) 254-6828
Entity
Organization
Contact information
Practice address
2001 THE ALAMEDA, SAN JOSE, CA 95126-1136
(408) 261-7777
(408) 254-9960
Mailing address
1233 FOOTHILL ST, REDWOOD CITY, CA 94061-1918
(415) 730-1892
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
ASW28279
CA
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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