Individual provider · Type 1 NPI

Wayne B. Richardson

Substance Abuse Rehabilitation Facility · Stockton, CA

NPI number 1225300692 Active

Practice location

503 S Pershing Ave
Stockton, CA 95203-3236

Mailing address

3120 E Anita St
Stockton, CA 95205-3905

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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.

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About NPI 1225300692

Wayne B. Richardson's National Provider Identifier is 1225300692, issued on Feb 1, 2012. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Stockton, CA. The record was last updated on May 9, 2025.