Organization Name: | HEALTHRIGHT 360 |
NPI Number: | 1063543866 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VITKA EISEN (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 542 Valley Way Milpitas |
State: | CA US |
Postal Code: | 950354106 |
Phone Number: | 4089341110 |
Fax Number: | 4082713909 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 01/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |