NPI 1164701603
Mh Clinic at Juvenile Hall
Practice location
- Address
- 840 Guadalupe Pkwy, San Jose, CA 95110-1714
- Phone
- (408) 299-3166
- Mailing address
- 210 S 1st St Unit 412, San Jose, CA 95113-2724
Authorised official
- Name
- Donna Cohen-Cretcher
- Title
- Intern Coordinator
- Phone
- (408) 792-3910
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1164701603
- Entity type
- Organization
- NPI issued
- 16 Aug 2011
- Record last updated
- 16 Aug 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.