Individual provider · Type 1 NPI
Rudolph Johnson Jr., CATC1
Substance Abuse Rehabilitation Facility · San Diego, CA
NPI number
1124579545
Active
Practice location
6537 Reflection Dr Apt 105
San Diego, CA 92124-3111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Other substance abuse rehabilitation facility providers in San Diego
About NPI 1124579545
Rudolph Johnson Jr., CATC1's National Provider Identifier is 1124579545, issued on Oct 20, 2016. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in San Diego, CA. The record was last updated on Oct 20, 2016.