Organization
SUMMIT ESTATE RECOVERY CENTERS LLC
Active
Other names
Summit Estate Recovery Center, Summit Estate Outpatient, Summit Estate, Summit Estate Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGEI VIDOV (CEO)
(310) 498-3626
Entity
Organization
Contact information
Practice address
4145 OLD ADOBE RD, PALO ALTO, CA 94306-3724
(800) 701-6997
(323) 576-5345
Mailing address
7280 BLUE HILL DR STE 7, SAN JOSE, CA 95129-3624
(800) 701-6997
(323) 576-5345
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
440017AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430077CP
DHCS
CA
01
—
430100AP
DHCS
CA
Enumeration date
10/06/2011
Last updated
05/28/2025
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