NPI | 1013152826 |
---|---|
Former Legal Business Name | EAST VALLEY TREAMENT |
Entity Type | Organization |
Authorized Contact | LYDIA A TORRES Rehabilitation Counselor 408-272-6581 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2008-12-08 |
Last Update Date | 2008-12-08 |