Healthcare Provider Details

I. General information

NPI: 1447718838
Provider Name (Legal Business Name): ALUM ROCK COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2019
Last Update Date: 03/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 E GISH RD STE 200
SAN JOSE CA
95112-4724
US

IV. Provider business mailing address

777 N 1ST ST STE 444
SAN JOSE CA
95112-6339
US

V. Phone/Fax

Practice location:
  • Phone: 408-501-7550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: STEVE ECKERT
Title or Position: CEO
Credential:
Phone: 408-240-0070