KYLE ADDISON – NPI #1700101540
Residential Treatment Facility, Emotionally Disturbed Children
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.
KYLE ADDISON is a residential treatment facility located in SAN JOSE, CA. NPPES has assigned the NPI number 1700101540 to KYLE ADDISON on April 05, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.
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NPI Profile for
KYLE ADDISON
(more than 16 years ago)
SAN JOSE, CA 95120-4517 Phone: (408) 205-8996 Fax:
APT. #201
SAN JOSE, CA 95112-6702 Phone: (510) 673-2285 Fax:
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children (Primary) |
CA | 3649 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.