Organization
MOMENTUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME ARANA (COUNSELOR 11)
(408) 903-9080
Entity
Organization
Contact information
Practice address
2001 THE ALAMEDA, SAN JOSE, CA 95126-1136
(408) 261-7777
Mailing address
3193 HAGA DR, SAN JOSE, CA 95111-2279
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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