Provider Demographics
NPI:1578773578
Name:EGETGOING
Entity Type:Organization
Organization Name:EGETGOING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP CLINICAL SERVICES AND OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:REINBACH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:408-918-2257
Mailing Address - Street 1:20400 STEVENS CREEK BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2217
Mailing Address - Country:US
Mailing Address - Phone:408-998-3040
Mailing Address - Fax:408-918-2256
Practice Address - Street 1:20400 STEVENS CREEK BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2217
Practice Address - Country:US
Practice Address - Phone:408-998-3040
Practice Address - Fax:408-918-2256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder