Organization
RED ROAD TREATMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE THORNE CSC (CLINICAL SUPERVISOR)
(650) 703-9185
Entity
Organization
Contact information
Practice address
421 N 13TH ST, SAN JOSE, CA 95112-1720
(650) 703-9185
Mailing address
421 N 13TH ST, SAN JOSE, CA 95112-1720
(650) 703-9185
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
430086AN
CA
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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