Organization
LIFECHOICES TREATMENT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY LICKING (OFFICE MANAGER)
(408) 799-7372
Entity
Organization
Contact information
Practice address
1157 E TAYLOR ST, SAN JOSE, CA 95112-1658
(408) 971-7811
(408) 998-4337
Mailing address
1157 E TAYLOR ST, SAN JOSE, CA 95112-1658
(408) 971-7811
(408) 998-4337
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
430049AN
CA
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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