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Organization
NATIONAL PSYCHIATRIC CARE AND REHABILITATION SERVICES
Active
Organization
NATIONAL PSYCHIATRIC CARE AND REHABILITATION SERVICES
Active
Other names
National Phoenix
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX RUDAKOV (PRESIDENT)
(415) 812-2955
Entity
Organization
Contact information
Practice address
740 HOLLYHOCK DR, SAN LEANDRO, CA 94578-3819
(510) 670-9880
Mailing address
2880 ZANKER RD STE 106, SAN JOSE, CA 95134-2121
(415) 812-2955
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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