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Organization

OUR COMMON GROUND, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ORVILLE ROACHE (EXECUTIVE DIRECTOR)
(650) 364-7988
Entity
Organization

Contact information

Practice address
26 CENTRAL AVE, REDWOOD CITY, CA 94061-3823
(650) 364-7988
Mailing address
631 WOODSIDE RD, REDWOOD CITY, CA 94061-3847

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
4125
CA

Other

Enumeration date
01/16/2014
Last updated
01/16/2014
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