Organization
MOUNTAIN OAK COMPREHENSIVE CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA A. POWERS M.D. (PRESIDENT)
(408) 370-6147
Entity
Organization
Contact information
Practice address
9 MAREA AVE # C, LA SELVA BEACH, CA 95076-1726
(408) 370-6147
(408) 370-6196
Mailing address
51 E CAMPBELL AVE STE 170, CAMPBELL, CA 95008-2001
(408) 370-6147
(408) 370-6196
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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