Organization · Type 2 NPI

Momentum

Mental Illness Community Based Residential Treatment Facility · San Jose, CA

NPI number 1669774584 Active

Practice location

2001 The Alameda
San Jose, CA 95126-1136

Mailing address

3193 Haga Dr
San Jose, CA 95111-2279

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1669774584

Momentum's National Provider Identifier is 1669774584, issued on Nov 29, 2010. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in San Jose, CA. The record was last updated on Nov 29, 2010.