Organization
KIDSCOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN CORNIER (MANAGER)
(408) 793-5959
Entity
Organization
Contact information
Practice address
828 S BASCOM AVE, SUITE100, SAN JOSE, CA 95128-2651
(408) 793-5959
Mailing address
828 S BASCOM AVE, SUITE100, SAN JOSE, CA 95128-2651
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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