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Organization
ODD-FELLOW REBEKAH CHILDREN'S HOME OF CALIFORNIA
Active
Organization
ODD-FELLOW REBEKAH CHILDREN'S HOME OF CALIFORNIA
Active
Other names
Rebekah Children's Services
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DANG MALONE (CHIEF COMPLIANCE OFFICER)
(408) 846-2141
Entity
Organization
Contact information
Practice address
750 W 10TH ST, GILROY, CA 95020-6333
(408) 846-2100
Mailing address
290 IOOF AVE, GILROY, CA 95020-5204
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
08/27/2024
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