| Summit Estate Recovery Centers Llc | |
|
4145 Old Adobe Rd Palo Alto CA 94306-3724 | |
| (800) 701-6997 | |
| (323) 576-5345 |
| Full Name | Summit Estate Recovery Centers Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 4145 Old Adobe Rd, Palo Alto, California |
| Authorized Official Name and Position | Sergei Vidov (CEO) |
| Authorized Official Contact | 3104983626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Estate Recovery Centers Llc 7280 Blue Hill Dr Ste 7 San Jose CA 95129-3624 Ph: (800) 701-6997 | Summit Estate Recovery Centers Llc 4145 Old Adobe Rd Palo Alto CA 94306-3724 Ph: (800) 701-6997 |
| NPI Number | 1679857775 |
|---|---|
| Provider Enumeration Date | 10/06/2011 |
| Last Update Date | 05/28/2025 |
| Certification Date | 05/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679857775 | NPI | - | NPPES |
| 430100AP | Other | CA | DHCS |
| 430077CP | Other | CA | DHCS |
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