Odd Fellow Rebekah Children's Home of Ca
NPI #1215676135 in Gilroy, California
Provider Information
- NPI Number
- 1215676135
- Entity Type
- Organization
- Organization Name
- Odd Fellow Rebekah Children's Home of Ca
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 31, 2022
- Last Updated
- Sep 24, 2024
Practice Location
- Address
- 325 SANTA CLARA AVE
- City
- Gilroy
- State
- California
- ZIP Code
- 95020-9286
- Phone
- (408) 846-2100
Authorized Official
- Name
- JENNIFER DANG MALONE
- Title
- CHIEF COMPLIANCE OFFICER
- Phone
- (408) 846-2141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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