| NPI | 1114006830 |
|---|---|
| Doing Business As | CHILDREN'S RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH SHAWN MCGUIRE President/CEO 408-340-1568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital Children (Licence: CA 070000320) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2017-02-08 |