| Center For Cultivated Living | |
|
2310 Homestead Rd Ste C1410 Los Altos CA 94024-7339 | |
| (650) 395-8022 | |
| Not Available |
| Full Name | Center For Cultivated Living |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2310 Homestead Rd Ste C1410, Los Altos, California |
| Authorized Official Name and Position | Kathryn Lige (PRESIDENT) |
| Authorized Official Contact | 6503958022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Cultivated Living 2310 Homestead Rd. Ste. C1, #410 Los Altos CA 94024 Ph: (650) 395-8022 | Center For Cultivated Living 2310 Homestead Rd Ste C1410 Los Altos CA 94024-7339 Ph: (650) 395-8022 |
| NPI Number | 1871203216 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 09/08/2024 |
| Certification Date | 09/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871203216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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