| Department Of Alcohol And Drug Services-cfcs-yerba Buena | |
|
1855 Lucretia Ave San Jose CA 95122-3730 | |
| (408) 347-4700 | |
| Not Available |
| Full Name | Department Of Alcohol And Drug Services-cfcs-yerba Buena |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1855 Lucretia Ave, San Jose, California |
| Authorized Official Name and Position | Robert Garner (DEPARTMENT DIRECTOR) |
| Authorized Official Contact | 4087925680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Alcohol And Drug Services-cfcs-yerba Buena 976 Lenzen Ave 3rd Floor San Jose CA 95126-2737 Ph: (408) 792-5680 | Department Of Alcohol And Drug Services-cfcs-yerba Buena 1855 Lucretia Ave San Jose CA 95122-3730 Ph: (408) 347-4700 |
| NPI Number | 1821131871 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821131871 | NPI | - | NPPES |
| 434387 | Other | CA | STATE PROVIDER NUMBER |
| 4387 | Other | CA | DRUG MEDI-CAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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