Organization
CL RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES FRACH PHD (OFFICE MANAGER)
(408) 984-2455
Entity
Organization
Contact information
Practice address
3234 MCKINLEY DR, SANTA CLARA, CA 95051-6765
(408) 984-2455
(408) 984-2456
Mailing address
3234 MCKINLEY DR, SANTA CLARA, CA 95051-6765
(408) 984-2455
(408) 984-2456
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
—
—
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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