Organization
RYLIST, INC.
Active
Other names
La Ventana Eating Disorders Programs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE JOHN ZAMARRIPAA (CEO/OWNER/PRESIDENT)
88057773873
Entity
Organization
Contact information
Practice address
1101 S WINCHESTER BLVD, SUITE # N 265, SAN JOSE, CA 95128-3901
(805) 777-3873
Mailing address
275 E HILLCREST DR, SUITE # 120, THOUSAND OAKS, CA 91360-5827
(805) 777-3813
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PSY22303
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
PSY22303
CA
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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