Children'S Recovery Center 1, LLC
General Acute Care Hospital, Children in Campbell, CA. Organization (NPI-2).
NPI number1114006830
StatusActive
Last updated in NPPESFeb 8, 2017
Details
- NPI
- 1114006830
- Entity type
- Organization (NPI-2)
- Legal business name
- Children'S Recovery Center 1, LLC
- Organization subpart
- No
- Enumeration date
- Nov 3, 2006
- Last updated
- Feb 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282NC2000X | General Acute Care Hospital, Children | 070000320 | CA | Yes |
Other names
- Children'S Recovery Center (Doing Business As)
Practice location
3777 S. Bascom Ave.Campbell, CA 95008
Phone 408-340-1568 · Fax 408-866-8144
Mailing address
3777 S. Bascom Ave.Campbell, CA 95008
Phone 408-340-1568 · Fax 408-866-8144
Authorized official
Kenneth Shawn McGuire
President/Ceo
4083401568
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