| Central Treatment And Recovery | |
|
976 Lenzen Ave Fl 1 San Jose CA 95126-2737 | |
| (408) 792-5643 | |
| (408) 947-8719 |
| Full Name | Central Treatment And Recovery |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 976 Lenzen Ave Fl 1, San Jose, California |
| Authorized Official Name and Position | Bob Gardner (DIRECTOR) |
| Authorized Official Contact | 4087925656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Treatment And Recovery 976 Lenzen Ave Fl 1 San Jose CA 95126-2737 Ph: (408) 792-5643 | Central Treatment And Recovery 976 Lenzen Ave Fl 1 San Jose CA 95126-2737 Ph: (408) 792-5643 |
| NPI Number | 1205958097 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205958097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Primary |
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