| Sunol Peak/edge School | |
|
258 Sunol St San Jose CA 95126-4804 | |
| (408) 573-3200 | |
| Not Available |
| Full Name | Sunol Peak/edge School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 258 Sunol St, San Jose, California |
| Authorized Official Name and Position | Toni Tullys (DIRECTOR OF BEHAVORIAL HEALTH) |
| Authorized Official Contact | 4087931846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunol Peak/edge School 2101 Alexian Dr Ste 110 San Jose CA 95116-1901 Ph: (408) 272-6518 | Sunol Peak/edge School 258 Sunol St San Jose CA 95126-4804 Ph: (408) 573-3200 |
| NPI Number | 1972013258 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 10/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972013258 | NPI | - | NPPES |
| 438648 | Other | CALOMS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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