Department Of Alcohol And Drug Services-cfcs Division | |
2101 Alexian Dr Suite 110 San Jose CA 95116-1901 | |
(408) 272-6518 | |
Not Available |
Full Name | Department Of Alcohol And Drug Services-cfcs Division |
---|---|
Speciality | Community/behavioral Health |
Location | 2101 Alexian Dr, San Jose, California |
Authorized Official Name and Position | Robert Fernandez (DEPARTMENT DIRECTOR) |
Authorized Official Contact | 4087925680 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Department Of Alcohol And Drug Services-cfcs Division 976 Lenzen Ave 3rd Floor San Jose CA 95126-2737 Ph: (408) 792-5680 | Department Of Alcohol And Drug Services-cfcs Division 2101 Alexian Dr Suite 110 San Jose CA 95116-1901 Ph: (408) 272-6518 |
NPI Number | 1043354855 |
---|---|
Provider Enumeration Date | 02/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043354855 | NPI | - | NPPES |
4387 | Other | CA | DRUG MEDI-CAL NUMBER |
434387 | Other | CA | STATE PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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