Goodwill Of Silicon Valley | |
1080 N 7th St San Jose CA 95112-4425 | |
(408) 869-9160 | |
(408) 869-9172 |
Full Name | Goodwill Of Silicon Valley |
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Speciality | Community/behavioral Health |
Location | 1080 N 7th St, San Jose, California |
Authorized Official Name and Position | Trish Dorsey (VICE PRESIDENT OF MISSION SERVICES) |
Authorized Official Contact | 4088699230 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Goodwill Of Silicon Valley 1080 N 7th St San Jose CA 95112-4425 Ph: (408) 869-9160 | Goodwill Of Silicon Valley 1080 N 7th St San Jose CA 95112-4425 Ph: (408) 869-9160 |
NPI Number | 1750751780 |
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Provider Enumeration Date | 10/02/2015 |
Last Update Date | 06/22/2021 |
Certification Date | 06/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750751780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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