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NPI Code Detail

MEDICARE: NATIONAL PSYCHIATRIC CARE AND REHABILITATION SERVICES

MEDICARE: NATIONAL PSYCHIATRIC CARE AND REHABILITATION SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1323P00000XPsychiatric Residential Treatment Facility

General Provider Information

NPI Number : 1154988442
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIONAL PSYCHIATRIC CARE AND REHABILITATION SERVICES
Provider Business Mailing Address
First Line : 2880 ZANKER RD STE 106
Second Line :
City : SAN JOSE
State : CA
Zip : 95134-2121
Country : US
Telephone Number : 415-812-2955
Fax Number :
Provider Business Practice Location Address
First Line : 2181 TICE VALLEY BLVD
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94595-2505
Country : US
Telephone Number : 415-812-2955
Fax Number :
Authorized Official
Title or Position : SECRETARY
Name : ALEX RUDAKOV
Credential :
Telephone Number : 408-786-1035
Provider Enumeration Date : 05/22/2019
Last Update Date : 05/22/2019

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Directions to “NATIONAL PSYCHIATRIC CARE AND REHABILITATION SERVICES ” Practice Location

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