Individual provider · Type 1 NPI

Robert Bostonian

Substance Abuse Rehabilitation Facility · San Rafael, CA

NPI number 1295104420 Active

Practice location

67 Grande Paseo
San Rafael, CA 94903-1555

Call (415) 535-5554 Map

Mailing address

PO Box 3517
San Rafael, CA 94912-3517

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X122932 (CA)

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 1295104420

Robert Bostonian's National Provider Identifier is 1295104420, issued on Sep 17, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in San Rafael, CA. The record was last updated on Sep 17, 2015.