Individual provider · Type 1 NPI
Mary Gallego
Substance Abuse Rehabilitation Facility · Placerville, CA
NPI number
1306230552
Active
Practice location
2844 Coloma St
Placerville, CA 95667-4406
Fax (530) 626-8992
Mailing address
PO Box 1666
Placerville, CA 95667-1666
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.
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About NPI 1306230552
Mary Gallego's National Provider Identifier is 1306230552, issued on Mar 26, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Placerville, CA. The record was last updated on Mar 26, 2015.