Organization
LIFEMOVES - JULIAN STREET INN
Active
Parent organization
LIFEMOVES
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEMOVES
Authorized official
MR. BRUCE IVES (CEO)
(650) 680-5880
Entity
Organization
Contact information
Practice address
546 W JULIAN ST, SAN JOSE, CA 95110-2351
(408) 271-0820
Mailing address
181 CONSTITUTION DR, MENLO PARK, CA 94025-1106
(650) 680-5880
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
10/19/2016
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