Meraki Management - Ca Llc | |
1605 The Alameda Ste 200 San Jose CA 95126-2202 | |
(805) 728-9093 | |
(805) 728-9093 |
Full Name | Meraki Management - Ca Llc |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 1605 The Alameda Ste 200, San Jose, California |
Authorized Official Name and Position | Tracy Marie Rogers (VP OF REVENUE) |
Authorized Official Contact | 8057289093 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Meraki Management - Ca Llc Po Box 45973 San Francisco CA 94145-0973 Ph: (805) 728-9093 | Meraki Management - Ca Llc 1605 The Alameda Ste 200 San Jose CA 95126-2202 Ph: (805) 728-9093 |
NPI Number | 1811771942 |
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Provider Enumeration Date | 08/21/2023 |
Last Update Date | 08/21/2023 |
Certification Date | 08/21/2023 |
Identifier | Type | State | Issuer |
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1811771942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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