institution
Disruptive Therapy Collective For The Individual, Family, And Child, I
Mental Health Clinic/Center (Including Community Mental Health Center) in San Jose, California
NPI 1083392302

Disruptive Therapy Collective For The Individual, Family, And Child, I is a Mental Health Clinic/Center (Including Community Mental Health Center) based in San Jose, CA and is specialized in Mental Health (Including Community Mental Health Center). Disruptive Therapy Collective For The Individual, Family, And Child, I practices in San Jose, CA. The NPI Number for Disruptive Therapy Collective For The Individual, Family, And Child, I is 1083392302 and holds a License No. (California).

The current practice location address for Disruptive Therapy Collective For The Individual, Family, And Child, I is 1769 Park Ave Ste 250, San Jose, CA and can be reached out via phone at 408-365-4238.

Location: 1769 Park Ave Ste 250, San Jose, CA, 95126-2030
institution
Provider Profile Details
NPI Number
1083392302
Provider Name
Disruptive Therapy Collective For The Individual, Family, And Child, I
Credential
Provider Entity Type
Organization
Address
1769 Park Ave Ste 250, San Jose, CA, 95126-2030
Phone Number
408-365-4238
Fax Number
Provider Enumeration Date
07/06/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1769 Park Ave Ste 250
City
State
Zip
95126-2030
Phone Number
408-365-4238
Fax Number
person
Provider Business Mailing Address Details
Address
1769 Park Ave Ste 250
City
State
Zip
95126-2030
Phone Number
408-365-4238
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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