Organization
STARLIGHT ADOLESCENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABU TORAB ZAKIR (LICENSED VOCATIONAL NURSE)
(408) 224-4458
Entity
Organization
Contact information
Practice address
5824 CHRIS DR, SAN JOSE, CA 95123-3501
(408) 224-4458
(408) 224-4458
Mailing address
5824 CHRIS DR, SAN JOSE, CA 95123-3501
(408) 224-4458
(408) 224-4458
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
VN 231676
CA
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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