| Bill Wilson Center | |
|
3490 The Alameda Santa Clara CA 95050-4333 | |
| (408) 850-6154 | |
| (408) 246-5752 |
| Full Name | Bill Wilson Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3490 The Alameda, Santa Clara, California |
| Authorized Official Name and Position | Patricia Kennedy St Clair (FAM THERAPIST CLINICAL SUPERVISOR) |
| Authorized Official Contact | 4088506154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bill Wilson Center 3490 The Alameda Santa Clara CA 95050-4333 Ph: (650) 365-1643 | Bill Wilson Center 3490 The Alameda Santa Clara CA 95050-4333 Ph: (408) 850-6154 |
| NPI Number | 1144435744 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 03/15/2022 |
| Certification Date | 03/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144435744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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