Organization
BREAKTHROUGH BEHAVIORAL OF TEXAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GOLDENSON (CEO)
(650) 793-4444
Entity
Organization
Contact information
Practice address
908 BAINES ST, EAST PALO ALTO, CA 94303-2524
(650) 793-4444
Mailing address
908 BAINES ST, EAST PALO ALTO, CA 94303-2524
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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