Back to Search
KYLE ADDISON
Emotionally Disturbed Childrens' Residential Treatment Facility
NPI: 1700101540Individual
Specialties, Licenses & Credentials
Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary
Residential Treatment Facility, Emotionally Disturbed Children
Code: 322D00000X
3649(CA)
Contact & Hours
- Address
- 6630 MARYMONTE CT
SAN JOSE, CA 95120 - Phone
- (408) 205-8996
Quick Facts
- NPI
- 1700101540
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
Are you this provider?
Claim Your Profile