Organization
COUNTY OF SANTA CLARA
Active
Other names
Snell Community School
Organization subpart
No
Provider details
NPI number
Authorized official
TONI TULLYS (DIRECTOR OF BEHAVIORAL HEALTH)
(408) 793-1846
Entity
Organization
Contact information
Practice address
3550 SNELL AVE, SAN JOSE, CA 95136-1349
(408) 573-3200
Mailing address
2101 ALEXIAN DR STE 110, SAN JOSE, CA 95116-1901
(408) 272-6518
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
438618
CALOMS NUMBER
CA
Enumeration date
09/28/2017
Last updated
09/28/2017
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