Children's Recovery Center 1, LLC

NPI #1114006830 in Campbell, California

Provider Information

NPI Number
1114006830
Entity Type
Organization
Organization Name
Children's Recovery Center 1, LLC
Primary Specialty
General Acute Care Hospital - Children
Enumeration Date
Nov 3, 2006
Last Updated
Feb 8, 2017

Practice Location

Address
3777 S. BASCOM AVE.
ZIP Code
95008
Phone
(408) 340-1568

Authorized Official

Name
MR. KENNETH SHAWN MCGUIRE
Title
PRESIDENT/CEO
Phone
(408) 340-1568

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital - ChildrenChildren

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