Individual provider · Type 1 NPI
Michael William Mandel
Substance Abuse Rehabilitation Facility · Fremont, CA
NPI number
1790924074
Active
Practice location
4510 Peralta Blvd Ste 1
Fremont, CA 94536-5755
Fax (510) 713-0684
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 010010AN (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.
2 other providers at this address
About NPI 1790924074
Michael William Mandel's National Provider Identifier is 1790924074, issued on Feb 11, 2009. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Fremont, CA. The record was last updated on Feb 11, 2009.