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1164701603
MH CLINIC AT JUVENILE HALL
SAN JOSE, CA
NPI
1164701603
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Entity Type
Organization
Authorized Contact
DONNA COHEN-CRETCHER
Intern Coordinator
408-792-3910
Organization Subpart ?
No
Primary Taxonomy
251K00000X Public Health or Welfare
Enumeration Date
2011-08-16
Last Update Date
2011-08-16
Business Address
MH CLINIC AT JUVENILE HALL
840 GUADALUPE PKWY
SAN JOSE, CA 95110-1714
Phone number: 408-299-3166
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Mailing Address
MH CLINIC AT JUVENILE HALL
210 S 1ST ST UNIT 412
SAN JOSE, CA 95113-2724
Phone number: 559-347-8001
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