Organization
TRUTH RECOVERY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILEY DAVID THORNE (CLINICAL DIRECTOR)
(650) 703-9185
Entity
Organization
Contact information
Practice address
810 PALM ST, SAN JOSE, CA 95110-3030
(408) 500-6229
Mailing address
810 PALM ST, SAN JOSE, CA 95110-3030
(408) 500-6229
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
430080AN
CA
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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