Individual provider · Type 1 NPI
Kyle Addison
Emotionally Disturbed Childrens' Residential Treatment Facility · San Jose, CA
Practice location
6630 Marymonte Ct
San Jose, CA 95120-4517
Mailing address
1058 S 5th St, Apt. #201
San Jose, CA 95112-6702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 3649 (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.
Another provider at this address
Other emotionally disturbed childrens' residential treatment facility providers in San Jose
- Debra Lee Collins, R.N.Emotionally Disturbed Childrens' Residential Treatment Facility San Jose, CA NPI 1013197052
- Lindsay Marie BlackwellEmotionally Disturbed Childrens' Residential Treatment Facility San Jose, CA NPI 1134316722
- Jennifer Marie Crane, MFTIEmotionally Disturbed Childrens' Residential Treatment Facility San Jose, CA NPI 1255475497
About NPI 1700101540
Kyle Addison's National Provider Identifier is 1700101540, issued on Apr 5, 2010. 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 Apr 5, 2010.