Nba Serra Residential Center

NPI 1033255831 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1033255831
Enumeration Date 01/29/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANN C ANN
Position CHIEF FINANCIAL OFFICER
Phone (510) 608-3900
Fax (510) 608-3914
Practice Location
39055 HASTINGS ST STE 211
FREMONT CA, 94538-1518, US
Phone (510) 608-3900
Fax (510) 608-3914
Business Location
39055 HASTINGS ST STE 211
FREMONT CA, 94538-1518, US
Phone (510) 608-3900
Fax (510) 608-3914
Toxanomy
Taxonomy Code 320600000X
License State California
License Number 0200318
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According to our database, Nba Serra Residential Center NPI is 1033255831, taxonomy code is 320600000X and license number is 0200318, license state is located at California. Nba Serra Residential Center physically located at 39055 Hastings St Ste 211, Fremont CA, 94538-1518. NPI Number 1033115704 has the healthcare provider type.

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1033255831 NPI number is provided on an as is basis without warranty of any kind. 1033255831 is maintained by the National Plan & Provider Enumeration System. The contents of Nba Serra Residential Center are for informational purposes only.