Healthcare Provider Details

I. General information

NPI: 1437693983
Provider Name (Legal Business Name): ARTS EDUCATORS GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2016
Last Update Date: 12/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 LAWRENCE EXPY SUITE 221
SUNNYVALE CA
94085-4033
US

IV. Provider business mailing address

1617 WILLOWHURST AVE
SAN JOSE CA
95125-5561
US

V. Phone/Fax

Practice location:
  • Phone: 408-531-6428
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL MORRIS
Title or Position: PRESIDENT
Credential:
Phone: 408-531-6428