Organization
CITY OF FREMONT
Active
Other names
Mission San Jose High
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE BAILEY M.S., M.P.A., LMFT (ADMINISTRATOR)
(510) 547-2100
Entity
Organization
Contact information
Practice address
41717 PALM AVE, FREMONT, CA 94539-4722
(510) 657-3600
Mailing address
PO BOX 5006, FREMONT, CA 94537-5006
(510) 547-2100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
08/24/2020
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