SILICON VALLEY RECOVERY AND REHABILITATION LLC NPI 1972225530

NPI Information

NPI: 1972225530
Provider Name: SILICON VALLEY RECOVERY AND REHABILITATION, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 05D2281176

Address:
1762 TECHNOLOGY DR STE 110
SAN JOSE, CA
ZIP 95110
Phone: (831) 740-4629
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SILICON VALLEY RECOVERY AND REHABILITATION, LLC is a rehabilitation and substance use disorder clinic center in San Jose, CA. SILICON VALLEY RECOVERY AND REHABILITATION, LLC NPI is 1972225530. The provider is registered as an organization entity type.

The provider's business location address is:

1762 TECHNOLOGY DR STE 110
SAN JOSE, CA
ZIP 95110-307
Phone: (831) 740-4629

The provider's authorized official is Nathan Tuddenham .
The authorized official title is Chief Operating Officer and has the following contact phone number (831) 740-4629.

The CLIA number assigned to this NPI record is 05D2281176 - other - subs abuse disorder clini with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2022 and was last updated on 9/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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