Organization
NATIONAL PSYCHIATRIC CARE AND REHABILITATION SERVICES
Active
Other names
National Phoenix
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX RUDAKOV (PRESIDENT)
(415) 812-2955
Entity
Organization
Contact information
Practice address
740 HOLLYHOCK DR, SAN LEANDRO, CA 94578-3819
(510) 670-9880
Mailing address
2880 ZANKER RD STE 106, SAN JOSE, CA 95134-2121
(415) 812-2955
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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