Organization
CATHOLIC CHARITIES OF SC CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KITTY MASON M. (DIRECTOR BEHAVIORAL HEATH)
(408) 295-4647
Entity
Organization
Contact information
Practice address
2625 ZANKER RD, SAN JOSE, CA 95134-2130
(408) 325-5219
(408) 944-0468
Mailing address
2625 ZANKER RD, SAN JOSE, CA 95134-2130
(408) 325-5219
(408) 944-0468
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
009005
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41528
UNICARE
CA
Enumeration date
06/15/2011
Last updated
06/15/2011
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