Individual provider · Type 1 NPI
Rose Mendiola
Substance Abuse Rehabilitation Facility · Vallejo, CA
NPI number
1417324872
Active
Practice location
130 Stanford Dr
Vallejo, CA 94589-1746
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | R36801214 (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 Vallejo
About NPI 1417324872
Rose Mendiola's National Provider Identifier is 1417324872, issued on Sep 1, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Vallejo, CA. The record was last updated on Sep 1, 2015.