Organization
MALAIKA HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CHEWNING80 (ADMINISTRATION)
(650) 462-6995
Entity
Organization
Contact information
Practice address
819 & 823 JAMIE LANE, EAST PALO ALTO, CA 94303
(650) 462-6999
(650) 462-1055
Mailing address
819 & 823 JAMIE LANE, EAST PALO ALTO, CA 94303
(650) 462-6999
(650) 462-1055
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
410027BN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410027BN
REHABILITATION SERVICES
CA
Enumeration date
09/27/2013
Last updated
01/31/2014
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