Provider First Line Business Practice Location Address: 
206 CALIFORNIA AVE
    Provider Second Line Business Practice Location Address: 
ALLIANCE FOR COMMUNITY CARE SERVICE TEAM ADULT CALIFORN
    Provider Business Practice Location Address City Name: 
PALO ALTO
    Provider Business Practice Location Address State Name: 
CA
    Provider Business Practice Location Address Postal Code: 
94306-1618
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
650-617-8340
    Provider Business Practice Location Address Fax Number: 
650-321-5468
    Provider Enumeration Date: 
03/26/2007