| Momentum For Mental Health - Housing Support | |
|
1429 Grant Rd Mountain View CA 94040-3250 | |
| (650) 968-8719 | |
| (650) 968-8851 |
| Full Name | Momentum For Mental Health - Housing Support |
|---|---|
| Speciality | Psychologist |
| Location | 1429 Grant Rd, Mountain View, California |
| Authorized Official Name and Position | John S. Smelser (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4082617777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum For Mental Health - Housing Support 2001 The Alameda San Jose CA 95126-1136 Ph: (408) 261-7777 | Momentum For Mental Health - Housing Support 1429 Grant Rd Mountain View CA 94040-3250 Ph: (650) 968-8719 |
| NPI Number | 1174742605 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174742605 | NPI | - | NPPES |
| 0000043AF | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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