| Specialty Mental Health Alviso | |
|
1621 Gold St Alviso CA 95002-3530 | |
| (408) 935-3900 | |
| Not Available |
| Full Name | Specialty Mental Health Alviso |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1621 Gold St, Alviso, California |
| Authorized Official Name and Position | Christina Cornell (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 4085796178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Mental Health Alviso 160 E Virginia St Ste 100 San Jose CA 95112-5865 Ph: () - | Specialty Mental Health Alviso 1621 Gold St Alviso CA 95002-3530 Ph: (408) 935-3900 |
| NPI Number | 1922625847 |
|---|---|
| Provider Enumeration Date | 06/26/2020 |
| Last Update Date | 08/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922625847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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