Healthcare Provider Details

I. General information

NPI: 1225155112
Provider Name (Legal Business Name): CATHOLIC CHARITIES OF SANTA CLARA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 E. SAN FERNANDO STREET
SAN JOSE CA
95112
US

IV. Provider business mailing address

2625 ZANKER ROAD SUITE 200
SAN JOSE CA
95134-2107
US

V. Phone/Fax

Practice location:
  • Phone: 408-899-7140
  • Fax: 408-514-2384
Mailing address:
  • Phone: 408-468-0100
  • Fax: 408-944-9114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MUNISHA VOHRA
Title or Position: SENIOR DIRECTOR OF CLINICAL SERVICE
Credential: M.A., LCSW #66335
Phone: 408-767-9244