Grace Community Center in San Jose - Community/behavioral Health
Grace Community Center - NPI 1871758896
Grace Community Center is a Community/behavioral Health in San Jose, California. Grace Community Center practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Grace Community Center is 1871758896. The last update date is 2008-07-21.
Grace Community Center's current location address is 484 E San Fernando St, San Jose, California. You can contact this provider via phone number 4082930422. The mailing address for Grace Community Center is 484 E San Fernando St, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grace Community Center |
|---|---|
| Address | 484 E San Fernando St, San Jose, California |
| Phone Number | 4082930422 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | THERAPEUTI |
|---|---|
| Authorized Official Name | Blevins Ann Lisa |
| Credentials | PH.D. |
| Telephone Number | 4082930422 |
NPI Number Detail
| NPI Number | 1871758896 |
|---|---|
| Provider Enumeration Date | 2008-07-21 |
| Last Updated Date | 2008-07-21 |
Provider Mailing Address Detail
| Address | 484 E San Fernando St |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951123513 |
| Phone Number | 4082930422 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42502 | CA | PARCCA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Grace Community Center?
The Grace Community Center has been issued the NPI (National Provider Identifier) 1871758896 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Grace Community Center's facilities are geographically located?
The facilities of Grace Community Center are physically situated at the following location: 484 E San Fernando St, San Jose, CA, 951123513.
What is the Grace Community Center's specialty and taxonomy code?
The Grace Community Center's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
When did Grace Community Center receive its 1871758896 assignment?
The Grace Community Center was assigned its 1871758896 on 2008-07-21, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Grace Community Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Grace Community Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-21.