Individual provider · Type 1 NPI

Kelly Marie Foreman

Children's Substance Abuse Rehabilitation Facility · French Camp, CA

NPI number 1770140600 Active

Practice location

500 W Hospital Rd
French Camp, CA 95231-9693

Call (209) 468-6013 Map

Fax (209) 468-7032

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500X390002EN (CA)

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 1770140600

Kelly Marie Foreman's National Provider Identifier is 1770140600, issued on May 27, 2019. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in French Camp, CA. The record was last updated on May 27, 2019.