| Cfcs - Broadway High School | |
|
4825 Speak Ln San Jose CA 95118-3769 | |
| (408) 272-6518 | |
| Not Available |
| Full Name | Cfcs - Broadway High School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4825 Speak Ln, San Jose, California |
| Authorized Official Name and Position | Toni Tullys (DIRECTOR) |
| Authorized Official Contact | 4088857581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cfcs - Broadway High School 2101 Alexian Dr Suite 110 San Jose CA 95116-1901 Ph: () - | Cfcs - Broadway High School 4825 Speak Ln San Jose CA 95118-3769 Ph: (408) 272-6518 |
| NPI Number | 1073052734 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073052734 | NPI | - | NPPES |
| 438330 | Other | CALOMS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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