Provider Demographics
NPI:1376828947
Name:ACCI/CST
Entity Type:Organization
Organization Name:ACCI/CST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAMM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-975-2730
Mailing Address - Street 1:555 S PARK VICTORIA DR APT 315
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-6434
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2400 MOORPARK AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2631
Practice Address - Country:US
Practice Address - Phone:408-975-2730
Practice Address - Fax:408-975-2745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management