San Andreas Regional Center

NPI #1790076552 in Campbell, California

Provider Information

NPI Number: 1790076552
Entity Type: Organization
Organization Name: San Andreas Regional Center
Primary Specialty: Case Management
Enumeration Date: Apr 28, 2011
Last Updated: Nov 29, 2011

Practice Location

Address: 300 ORCHARD CITY DRIVE
Address 2: SUITE 170
City: Campbell
State: California
ZIP Code: 95008
Phone: (408) 374-9960

Authorized Official

Name: MS. MARILYN POLLARD
Title: QMRP
Phone: (408) 374-9960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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