NPI 1366895666
Lifemoves - Autumn Satellite Clinic
Practice location
- Address
- 263 N Autumn St, San Jose, CA 95110
- Phone
- (650) 685-5880
- Mailing address
- 181 Constitution Dr, Menlo Park, CA 94025-1106
Authorised official
- Name
- Craig Garber
- Title
- Cfo
- Phone
- (650) 685-5880
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1366895666
- Entity type
- Organization
- NPI issued
- 21 Jul 2016
- Record last updated
- 1 Jun 2018
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.