Individual provider · Type 1 NPI

Prentice Powell

Community/Behavioral Health Agency · San Jose, CA

NPI number 1760880462 Active

Practice location

2177 Alum Rock Ave Apt 139
San Jose, CA 95116-2063

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone 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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About NPI 1760880462

Prentice Powell's National Provider Identifier is 1760880462, issued on Dec 11, 2014. 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 Dec 11, 2014.