Organization · NPI-2

Ac Marriage And Family Therapy INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) · San Jose, CA

NPI number1013743145
StatusActive
Last updated in NPPESSep 13, 2024

Details

NPI
1013743145
Entity type
Organization (NPI-2)
Legal business name
Ac Marriage And Family Therapy INC.
Organization subpart
No
Enumeration date
Sep 13, 2024
Certification date
Sep 13, 2024
Last updated
Sep 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

717 W Julian St Unit 345
San Jose, CA 95126-2857

Phone 650-394-7585

Mailing address

Po Box 26043
San Jose, CA 95159-6043

Phone 650-394-7585

Authorized official

Antwon Chatmon
Owner
6503947585

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