NPI 1013197052

Debra Lee Collins, RN

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

Practice location

Address: 455 Silicon Valley Blvd, San Jose, CA 95138-1858
Phone: (408) 284-9031
Fax: (408) 284-9058

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 351052 (CA)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in California →

Registry record

NPI: 1013197052
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Nov 2007
Record last updated: 7 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.