Provider First Line Business Practice Location Address:
2625 ZANKER RD
Provider Second Line Business Practice Location Address:
SUPPORTIVE HOUSING
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-325-5256
Provider Business Practice Location Address Fax Number:
408-944-0200
Provider Enumeration Date:
08/20/2010