City of San Jose Grace Community Center
City of San Jose Grace Community Center is a Community/Behavioral Health Agency in San Jose, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
484 E San Fernando StSan Jose, CA 95112-3513
Phone: (408) 293-0422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence PSY 14707 (CA) |
|---|
Record details
| NPI number | 1134333180 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Blevins — Director · (408) 293-0422 |
| NPI enumerated | May 9, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 484 E San Fernando St, San Jose, CA 95112-3513 |
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