Organization · Type 2 NPI
David Keith Jolander
Mental Illness Community Based Residential Treatment Facility · Dixon, CA
NPI number
1306048806
Active
Practice location
6217 Clark Rd
Dixon, CA 95620-9408
Fax (707) 446-3986
Mailing address
PO Box 339
Dixon, CA 95620-0339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1306048806
David Keith Jolander's National Provider Identifier is 1306048806, issued on Jun 5, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Dixon, CA. The record was last updated on Aug 22, 2020.