Individual provider · Type 1 NPI

Isiah Daniels, CADC-II

Substance Abuse Rehabilitation Facility · San Rafael, CA

NPI number 1386156560 Active

Practice location

710 C St Ste 8
San Rafael, CA 94901-3853

Mailing address

710 N 6th St
San Jose, CA 95112-3277

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XA018660515 (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 1386156560

Isiah Daniels, CADC-II's National Provider Identifier is 1386156560, issued on Oct 28, 2017. 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 Oct 28, 2017.