Individual provider · Type 1 NPI

Monica Nicol

Mental Illness Community Based Residential Treatment Facility · San Rafael, CA

NPI number 1609100833 Active

Practice location

830 B St
San Rafael, CA 94901-3003

Call (415) 459-5843 Map

Mailing address

544 W K St
Benicia, CA 94510-3067

Specialties and licenses

TaxonomyCodeLicense
Voluntary or Charitable Agency 251V00000XNone listed
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1609100833

Monica Nicol's National Provider Identifier is 1609100833, issued on Sep 21, 2009. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in San Rafael, CA. The record was last updated on Apr 4, 2013.