Organization
SOUTH BAY MEDICAL CENTER INC
Active
Other names
LOS GATOS DRUG AND ALCOHOL RECOVERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ALI MOAYED (FACILITY ADMINISTRATOR)
(408) 515-4699
Entity
Organization
Contact information
Practice address
16400 LARK AVE STE 350, LOS GATOS, CA 95032-2560
(408) 384-9717
Mailing address
16400 LARK AVE STE 100, LOS GATOS, CA 95032-2563
(408) 515-4699
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/21/2020
Last updated
03/21/2020
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