Provider Demographics
NPI:1225155112
Name:CATHOLIC CHARITIES OF SANTA CLARA COUNTY
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES OF SANTA CLARA COUNTY
Other - Org Name:CATHOLIC CHARITIES OF SANTA CLARA COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR DIRECTOR OF CLINICAL SERVICE
Authorized Official - Prefix:
Authorized Official - First Name:MUNISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:VOHRA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCSW #66335
Authorized Official - Phone:408-767-9244
Mailing Address - Street 1:2625 ZANKER ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-2107
Mailing Address - Country:US
Mailing Address - Phone:408-468-0100
Mailing Address - Fax:408-944-9114
Practice Address - Street 1:195 E. SAN FERNANDO STREET
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112
Practice Address - Country:US
Practice Address - Phone:408-899-7140
Practice Address - Fax:408-514-2384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ00543ZMedicare UPIN