Provider Demographics
NPI:1891839379
Name:COMMUNITY HEALTH AWARENESS COUNCIL
Entity Type:Organization
Organization Name:COMMUNITY HEALTH AWARENESS COUNCIL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-965-2020
Mailing Address - Street 1:711 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-2030
Mailing Address - Country:US
Mailing Address - Phone:650-965-2020
Mailing Address - Fax:650-965-7286
Practice Address - Street 1:711 CHURCH ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041-2030
Practice Address - Country:US
Practice Address - Phone:650-965-2020
Practice Address - Fax:650-965-7286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA430062AN251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA430062ANMedicare ID - Type UnspecifiedNEW OUTLOOKS