STARLIGHT ADOLESCENT

SAN JOSE, CA
NPI1811024789
Entity TypeOrganization
Authorized ContactVICTORIA REMI OYEWOLE
L PT
408-661-9236
Organization Subpart ?No
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: CA  32240)
Enumeration Date2007-02-27
Last Update Date2020-08-22
Business Address
STARLIGHT ADOLESCENT
5858 PADDON CIR
SAN JOSE, CA 95123-3522
Phone number: 408-629-5048
Mailing Address
STARLIGHT ADOLESCENT
5858 PADDON CIR
SAN JOSE, CA 95123-3522
Phone number: 408-629-5048