OUR COMMON GROUND, INC
Ambulatory Health at Central Ave, Redwood City, CA

License number
California 4125
Category
Ambulatory Health
Type
Rehabilitation, Substance Use Disorder
Owner
Name: ORVILLE ROACHE
Title: EXECUTIVE DIRECTOR
Phone: (650) 364-7988
Address
Address
26 Central Ave, Redwood City, CA 94061
National Provider ID: 1306268867
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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OUR COMMON GROUND, INC

631 Woodside Rd, Redwood City, CA 94061

Industry:
Specialty Outpatient Clinic
Registration:
Mar 18, 1988
Phone:
(650) 364-7988 (Phone)
State ID:
C1609560
Business type:
Articles of Incorporation
President:
Ray Rosenthal (President)
Agent:
Orville L. Roache,Redwood City, CA 94061 (Physical)

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