Organization · Type 2 NPI

Gardner Family Health Network Inc

Community/Behavioral Health Agency · San Jose, CA

NPI number 1376109629 Active

Practice location

614 Tully Rd
San Jose, CA 95111-1048

Call (408) 977-1591 Map

Fax (408) 998-1535

Mailing address

160 E Virginia St Ste 100
San Jose, CA 95112-5865

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: 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 disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1376109629
Entity type: Organization (Type 2)
Issued: May 13, 2019
Last updated: May 13, 2019
Status: Active
Subpart: Yes of Gardner Family Health Network Inc

Other names

Proyecto Primavera · doing business as

Authorized official

Christina Cornell
Credentialing Supervisor
(408) 579-6178

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376109629

Gardner Family Health Network Inc's National Provider Identifier is 1376109629, issued on May 13, 2019. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in San Jose, CA. The record was last updated on May 13, 2019.