Individual provider · Type 1 NPI

Paula Melissa Bloyed, PROGRAM AIDE

Children's Substance Abuse Rehabilitation Facility · Atwater, CA

NPI number 1578753604 Active

Practice location

559 Mendocino Ct
Atwater, CA 95301-4230

Call (209) 357-5200 Map

Fax (209) 357-5279

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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About NPI 1578753604

Paula Melissa Bloyed, PROGRAM AIDE's National Provider Identifier is 1578753604, issued on Jul 25, 2007. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Atwater, CA. The record was last updated on Jul 25, 2007.