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1720597511
CHILDREN'S RECOVERY CENTER 1, LLC
CAMPBELL, CA
NPI
1720597511
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Entity Type
Organization
Authorized Contact
DAN NICCUM
CEO
916-425-1171
Organization Subpart ?
Yes
Primary Taxonomy
282NC2000X General Acute Care Hospital Children
Enumeration Date
2017-09-25
Last Update Date
2023-06-22
Business Address
CHILDREN'S RECOVERY CENTER 1, LLC
3777 S BASCOM AVE
CAMPBELL, CA 95008-7320
Phone number: 408-558-3640
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Mailing Address
CHILDREN'S RECOVERY CENTER 1, LLC
3777 S BASCOM AVE
CAMPBELL, CA 95008-7320
Phone number: 408-558-3640
Copy
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