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8352 Church St Suite C Gilroy CA 95020-4449 | |
| (408) 848-6511 | |
| (408) 848-2099 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8352 Church St, Gilroy, California |
| Authorized Official Name and Position | Sheri Lynn Russell (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4088439504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8352 Church St Suite C Gilroy CA 95020-4449 Ph: (408) 848-6511 | 8352 Church St Suite C Gilroy CA 95020-4449 Ph: (408) 848-6511 |
| NPI Number | 1336239185 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 12/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336239185 | NPI | - | NPPES |
| 000004357 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Aspira Foster & Family Services - Gilroy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8375 Church St, Gilroy, CA 95020 Phone: 408-848-8128 Fax: 408-848-8893 | |
Community Solutions For Children, Families And Individuals Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7800 Carmel St, Gilroy, CA 95020 Phone: 408-842-7138 | |
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