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Organization

RETRAINING THE VILLAGE

Active
Find providers by NPI
Organization

RETRAINING THE VILLAGE

Active
Parent organization
RETRAINING THE VILLAGE
Organization subpart
Yes

Provider details

NPI number
Legal business name
RETRAINING THE VILLAGE
Authorized official
MS. HALLEY IRENE CRUMB ADULT RESIDENTIAL (CEO)
(650) 461-0433
Entity
Organization

Contact information

Practice address
2399 MENALTO AVE, EAST PALO ALTO, CA 94303-1022
(650) 461-0433
Mailing address
2785 JOSEPH AVE APT 4, CAMPBELL, CA 95008-6259
(650) 461-0433

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—

Other

Enumeration date
04/15/2020
Last updated
04/15/2020
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