| Riviera Evp | |
|
101 Jose Figueres Ave San Jose CA 95116 | |
| (408) 347-3120 | |
| (408) 347-3121 |
| Full Name | Riviera Evp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 Jose Figueres Ave, San Jose, California |
| Authorized Official Name and Position | Cathryn Waters (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4083473104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riviera Evp 101 Jose Figueres Ave (formerly P.o. Box 2260, Sanjose 95109) San Jose CA 95116 Ph: (408) 347-3120 | Riviera Evp 101 Jose Figueres Ave San Jose CA 95116 Ph: (408) 347-3120 |
| NPI Number | 1730394834 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730394834 | NPI | - | NPPES |
| C2344925 | Other | CA | CA CORP # |
| 47711791 | Other | CA | EDD # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (California) | Secondary |
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