Organization
MOMENTUM FOR MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA CLEVENGER C.A.S.; N.A.C.R.P.S. (CASE MANAGER/COUNSELOR)
(408) 812-1741
Entity
Organization
Contact information
Practice address
2001 THE ALAMEDA, SAN JOSE, CA 95126-1136
(408) 261-7777
Mailing address
222 SANTA CRUZ AVE, APTOS, CA 95003-4411
(408) 812-1741
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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