Organization · Type 2 NPI
Bodhi Addiction Treatment and Wellness
Substance Use Disorder Rehabilitation Clinic/Center · Capitola, CA
NPI number
1174113963
Active
Practice location
603 Capitola Ave
Capitola, CA 95010-2751
Mailing address
710 Beverly Ave
Capitola, CA 95010-2780
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
4 other providers at this address
- Mid County Surgical Medical Group, Inc.Surgery Physician Capitola, CA NPI 1871641571
- Gail LewisMarriage & Family Therapist Capitola, CA NPI 1013463579
- John Camara Anane-Sefah, MDColon & Rectal Surgery Physician Capitola, CA NPI 1639227143
- Taria Joy Mac Millan, LMFTMarriage & Family Therapist Capitola, CA NPI 1033601760
About NPI 1174113963
Bodhi Addiction Treatment and Wellness's National Provider Identifier is 1174113963, issued on Jan 25, 2021. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Capitola, CA. The record was last updated on Jan 26, 2021.