| Odd Fellow-rebekah Children's Home Of California | |
|
589 W Fremont Ave Sunnyvale CA 94087-2556 | |
| (408) 846-2100 | |
| Not Available |
| Full Name | Odd Fellow-rebekah Children's Home Of California |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 589 W Fremont Ave, Sunnyvale, California |
| Authorized Official Name and Position | Jennifer Dang Malone (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 4085910043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odd Fellow-rebekah Children's Home Of California 290 Ioof Ave Gilroy CA 95020-5204 Ph: () - | Odd Fellow-rebekah Children's Home Of California 589 W Fremont Ave Sunnyvale CA 94087-2556 Ph: (408) 846-2100 |
| NPI Number | 1982492997 |
|---|---|
| Provider Enumeration Date | 04/29/2025 |
| Last Update Date | 04/29/2025 |
| Certification Date | 04/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982492997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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