| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 750 W 10th St, Gilroy, California |
| Authorized Official Name and Position | Jennifer Dang Malone (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 4088462141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
290 Ioof Ave Gilroy CA 95020-5204 Ph: () - | 750 W 10th St Gilroy CA 95020-6333 Ph: (408) 846-2100 |
| NPI Number | 1750110706 |
|---|---|
| Provider Enumeration Date | 07/29/2024 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750110706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Aspira Foster & Family Services - Gilroy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8375 Church St, Gilroy, CA 95020 Phone: 408-848-8128 Fax: 408-848-8893 | |
Community Solutions For Children, Families And Individuals Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7800 Carmel St, Gilroy, CA 95020 Phone: 408-842-7138 | |
Community Solutions For Children, Families And Individuals Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 Old Gilroy St, Gilroy, CA 95020 Phone: 408-842-7138 | |