Imani Village School-linked Services | |
1720 Hopkins Dr San Jose CA 95122-1632 | |
(408) 971-9822 | |
Not Available |
Full Name | Imani Village School-linked Services |
---|---|
Speciality | Community/behavioral Health |
Location | 1720 Hopkins Dr, San Jose, California |
Authorized Official Name and Position | Andre Chapman (CEO) |
Authorized Official Contact | 4089719822 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Imani Village School-linked Services 1400 Parkmoor Ave Suite 115 San Jose CA 95126-3797 Ph: (408) 510-3480 | Imani Village School-linked Services 1720 Hopkins Dr San Jose CA 95122-1632 Ph: (408) 971-9822 |
NPI Number | 1023462496 |
---|---|
Provider Enumeration Date | 04/21/2016 |
Last Update Date | 08/31/2021 |
Certification Date | 08/31/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023462496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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