Individual provider · Type 1 NPI

Debra Lee Collins, R.N.

Emotionally Disturbed Childrens' Residential Treatment Facility · San Jose, CA

NPI number 1013197052 Active

Practice location

455 Silicon Valley Blvd
San Jose, CA 95138-1858

Call (408) 284-9031 Map

Fax (408) 284-9058

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X351052 (CA)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1013197052

Debra Lee Collins, R.N.'s National Provider Identifier is 1013197052, issued on Nov 7, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in San Jose, CA. The record was last updated on Nov 7, 2007.