| Awe | |
|
588 Blossom Hill Rd Ste A San Jose CA 95123-3211 | |
| (408) 607-7240 | |
| (408) 629-5709 |
| Full Name | Awe |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 588 Blossom Hill Rd Ste A, San Jose, California |
| Authorized Official Name and Position | Weston Lange (CEO) |
| Authorized Official Contact | 2096686118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awe 588 Blossom Hill Rd Ste A San Jose CA 95123-3211 Ph: (408) 607-7240 | Awe 588 Blossom Hill Rd Ste A San Jose CA 95123-3211 Ph: (408) 607-7240 |
| NPI Number | 1326318528 |
|---|---|
| Provider Enumeration Date | 01/04/2012 |
| Last Update Date | 01/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326318528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 31644 (California) | Primary |
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