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Our Common Ground, Inc. - Epa
Substance Abuse Rehabilitation Facility in East Palo Alto, California
NPI 1366844060

Our Common Ground, Inc. - Epa is a Substance Abuse Rehabilitation Facility based in Redwood City, CA. Our Common Ground, Inc. - Epa practices in East Palo Alto, CA. The NPI Number for Our Common Ground, Inc. - Epa is 1366844060 and holds a License No. 410012CN (California).

The current practice location address for Our Common Ground, Inc. - Epa is 2560 Pulgas Ave, East Palo Alto, CA and can be reached out via phone at 650-325-6466 and via fax at 650-325-6467.

Location: 2560 Pulgas Ave, East Palo Alto, CA, 94061-3847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366844060
Provider Name
Our Common Ground, Inc. - Epa
Credential
Provider Entity Type
Organization
Address
2560 Pulgas Ave, East Palo Alto, CA, 94061-3847
Phone Number
650-325-6466
Fax Number
650-325-6467
Provider Enumeration Date
09/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
410012CN 01 CA DEPARTMENT OF HEALTH CARE SERVICES
institution
Provider Business Practice Location Address Details
Address
2560 Pulgas Ave
City
East Palo Alto
State
California
Zip
94303-1323
Phone Number
650-325-6466
Fax Number
650-325-6467
person
Provider Business Mailing Address Details
Address
2560 Pulgas Ave
City
East Palo Alto
State
California
Zip
94303-1323
Phone Number
650-325-6466
Fax Number
650-325-6467
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
410012CN (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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