Organization
GRACE COMMUNITY CENTER DAY REHABILITATION PROGRAM
Active
Organization
GRACE COMMUNITY CENTER DAY REHABILITATION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA BLEVINS PHD (DIRECTOR)
(408) 794-7592
Entity
Organization
Contact information
Practice address
146 S 10TH ST, SAN JOSE, CA 95112-3641
(408) 794-7580
Mailing address
146 S 10TH ST, SAN JOSE, CA 95112-3641
(408) 794-7580
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
14707
CA
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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