| Imani Village School-linked Services | |
|
1720 Hopkins Dr San Jose CA 95122-1632 | |
| (408) 971-9822 | |
| Not Available |
| Full Name | Imani Village School-linked Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1720 Hopkins Dr, San Jose, California |
| Authorized Official Name and Position | Andre Chapman (CEO) |
| Authorized Official Contact | 4089719822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imani Village School-linked Services 1400 Parkmoor Ave Suite 115 San Jose CA 95126-3797 Ph: (408) 510-3480 | Imani Village School-linked Services 1720 Hopkins Dr San Jose CA 95122-1632 Ph: (408) 971-9822 |
| NPI Number | 1023462496 |
|---|---|
| Provider Enumeration Date | 04/21/2016 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023462496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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