| Greene Marriage And Family Inc. | |
|
881 Fremont Ave Ste B8 Los Altos CA 94024-5637 | |
| (650) 564-4672 | |
| Not Available |
| Full Name | Greene Marriage And Family Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 881 Fremont Ave Ste B8, Los Altos, California |
| Authorized Official Name and Position | Tracy A Greene (PRESIDENT/TREASURER) |
| Authorized Official Contact | 6505644672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greene Marriage And Family Inc. 881 Fremont Ave Ste B8 Los Altos CA 94024-5637 Ph: (650) 564-4672 | Greene Marriage And Family Inc. 881 Fremont Ave Ste B8 Los Altos CA 94024-5637 Ph: (650) 564-4672 |
| NPI Number | 1215606769 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 09/08/2021 |
| Certification Date | 09/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215606769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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