Organization
ADDICTION RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANNE FIFIELD DMFT, LMFT, CAS, CSA (EX DIRECTOR)
(408) 486-0110
Entity
Organization
Contact information
Practice address
3880 S. BASCOM AVE #206, SAN JOSE, CA 95124
(408) 907-3176
(408) 371-9193
Mailing address
3880 S. BASCOM AVE #206, SAN JOSE, CA 95124
(408) 907-3176
(408) 371-9193
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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