Individual provider · Type 1 NPI
Kelly Ferreira
Substance Abuse Rehabilitation Facility · Crockett, CA
NPI number
1629445085
Active
Practice location
715 Port St Apt 2
Crockett, CA 94525-1120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | C2080275 (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.
About NPI 1629445085
Kelly Ferreira's National Provider Identifier is 1629445085, issued on Sep 1, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Crockett, CA. The record was last updated on Sep 1, 2015.