Provider First Line Business Practice Location Address:
611 S MILPITAS BLVD
Provider Second Line Business Practice Location Address:
ADULT PSYCHIATRY
Provider Business Practice Location Address City Name:
MILPITAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95035-5473
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-945-5082
Provider Business Practice Location Address Fax Number:
408-945-5007
Provider Enumeration Date:
01/23/2007