| Dads-sj Conservation Corps & Charter School | |
|
2650 Senter Rd San Jose CA 95111-1121 | |
| (408) 283-7171 | |
| Not Available |
| Full Name | Dads-sj Conservation Corps & Charter School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2650 Senter Rd, San Jose, California |
| Authorized Official Name and Position | Bruce Copley (DIRECTOR) |
| Authorized Official Contact | 4087925680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dads-sj Conservation Corps & Charter School 976 Lenzen Ave Fl 3 San Jose CA 95126-2737 Ph: (408) 792-5680 | Dads-sj Conservation Corps & Charter School 2650 Senter Rd San Jose CA 95111-1121 Ph: (408) 283-7171 |
| NPI Number | 1053713958 |
|---|---|
| Provider Enumeration Date | 09/23/2014 |
| Last Update Date | 09/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053713958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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