Organization
GARDNER FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CECILY ZAZUETA MFT (QI COORDINATOR)
(408) 287-6200
Entity
Organization
Contact information
Practice address
160 E VIRGINIA ST, #280, SAN JOSE, CA 95112-5857
(408) 287-6200
(408) 998-1535
Mailing address
160 E VIRGINIA ST, #280, SAN JOSE, CA 95112-5857
(408) 287-6200
(408) 998-1535
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
52986
CA
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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