Organization
ARH RECOVERY HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA C WASKO (EXECUTIVE DIRECTOR)
(408) 236-6657
Entity
Organization
Contact information
Practice address
1101 S WINCHESTER BLVD, SUITE J-220, SAN JOSE, CA 95128-3901
(408) 236-6657
(408) 236-6610
Mailing address
1101 S WINCHESTER BLVD, SUITE J-220, SAN JOSE, CA 95128-3901
(408) 236-6657
(408) 236-6610
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
430001AN
CA
324500000X
Substance Abuse Rehabilitation Facility
430001DN
CA
324500000X
Substance Abuse Rehabilitation Facility
430001EN
CA
324500000X
Substance Abuse Rehabilitation Facility
430001FN
CA
324500000X
Substance Abuse Rehabilitation Facility
430001GN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430001AN
LICENSE AND CERTIFICATION
CA
01
—
430001DN
LICENSE AND CERTIFICATION
CA
01
—
430001EN
LICENSE AND CERTIFICATION
CA
01
—
430001GN
LICENSE AND CERTIFICATION
CA
Enumeration date
02/22/2007
Last updated
08/22/2020
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