Individual provider · Type 1 NPI

Monique Amber Leatherbury

Substance Abuse Rehabilitation Facility · Woodland, CA

NPI number 1508241647 Active

Practice location

15450 County Road 99
Woodland, CA 95695-9339

Fax (530) 668-8528

Mailing address

1180 Matmor Rd Apt 346
Woodland, CA 95776-6359

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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 1508241647

Monique Amber Leatherbury's National Provider Identifier is 1508241647, issued on Jul 29, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Woodland, CA. The record was last updated on Jul 29, 2015.