NPI | 1558151431 |
---|---|
Doing Business As | GARDNER ALUM ROCK SPECIALTY MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | LAURA PEREZ Credentialing 408-938-2113 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2025-05-12 |
Last Update Date | 2025-08-14 |