Organization
SYNTHESIS RECOVERY LLC
Active
Other names
Summit Peninsula, Summit on Peninsula, Summit on the Peninsula
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEI VIDOV (CEO)
(310) 498-3626
Entity
Organization
Contact information
Practice address
5498 BLACKOAK WAY, SAN JOSE, CA 95129-3110
(833) 338-1373
Mailing address
2238 KIRSTEN LEE DR, WESTLAKE VILLAGE, CA 91361-5564
(310) 498-3626
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/04/2019
Last updated
05/22/2019
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