Individual provider · Type 1 NPI
Jesse Jones, RADT-1 R9201214
Substance Abuse Rehabilitation Facility · Novato, CA
NPI number
1356715098
Active
Practice location
530 Loleta Ln
Novato, CA 94947-5210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | R9201214 (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.
Other substance abuse rehabilitation facility providers in Novato
About NPI 1356715098
Jesse Jones, RADT-1 R9201214's National Provider Identifier is 1356715098, issued on Nov 18, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Novato, CA. The record was last updated on Nov 18, 2015.