Organization
FOOTHILL COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DANIEL HICKEY LMFT (BEHAVIORAL HEALTH CLINICIAN II)
(408) 755-3905
Entity
Organization
Contact information
Practice address
1650 S WHITE RD, SAN JOSE, CA 95127-4758
(408) 928-5250
Mailing address
1650 S WHITE RD, SAN JOSE, CA 95127-4758
(408) 928-5250
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
46836
CA
251S00000X
Community/Behavioral Health Agency
Primary
46836
CA
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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