Organization
VISIT HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS KOONE (CHIEF OPERATING OFFICER)
(502) 215-7331
Entity
Organization
Contact information
Practice address
16400 LARK AVE STE 240, LOS GATOS, CA 95032-2564
(408) 384-9717
Mailing address
16400 LARK AVE STE 240, LOS GATOS, CA 95032-2564
(650) 331-0134
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
Other
Enumeration date
09/30/2022
Last updated
11/19/2024
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