Organization
SILICON VALLEY RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS BEETS (DIRECTOR)
(949) 933-1931
Entity
Organization
Contact information
Practice address
1189 CURTNER AVE, SAN JOSE, CA 95125-3618
(408) 547-4089
Mailing address
3400 IRVINE AVE STE 118, NEWPORT BEACH, CA 92660-3102
(408) 547-4089
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430094AP
DHCS
CA
Enumeration date
12/30/2021
Last updated
12/30/2021
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