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Willow Glen Middle School

Community/Behavioral Health in San Jose, CA. Organization (NPI-2).

NPI number1043667074
StatusActive
Last updated in NPPESMay 19, 2016

Details

NPI
1043667074
Entity type
Organization (NPI-2)
Legal business name
Willow Glen Middle School
Organization subpart
Yes
Enumeration date
May 19, 2016
Last updated
May 19, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

2105 Cottle Ave
San Jose, CA 95125-3504

Phone 408-287-6200

Mailing address

160 E Virginia St Ste 280
San Jose, CA 95112-5817

Phone 408-287-6200

Authorized official

Raymundo Espinoza
Ceo
4082876200

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