Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
DEPARTMENT OF ALCOHOL AND DRUG SERVICES
Active
Organization
DEPARTMENT OF ALCOHOL AND DRUG SERVICES
Active
Other names
Central Treatment and Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB GARDNER MA (DIRECTOR)
(408) 792-5656
Entity
Organization
Contact information
Practice address
976 LENZEN AVE FL 1, SAN JOSE, CA 95126-2737
(408) 792-5643
(408) 947-8719
Mailing address
976 LENZEN AVE FL 1, SAN JOSE, CA 95126-2737
(408) 792-5643
(408) 947-8719
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up