Organization
REBEKAH CHILDRE'S SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN DELA PENA (LVN)
(408) 368-7273
Entity
Organization
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2100
Mailing address
290 IOOF AVE, GILROY, CA 95020-5204
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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