Organization
GARDNER FAMILY HEALTH NETWORK
Active
Other names
Gardner Specialty Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA CORNELL (CREDENTIALING SUPERVISOR)
(408) 579-6178
Entity
Organization
Contact information
Practice address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
(408) 579-6178
(408) 579-6143
Mailing address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
(408) 579-6178
(408) 579-6143
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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