SearchCaliforniaSubstance Abuse Rehabilitation Facility

Kelly Ferreira

NPI 1629445085 · on the registry since 2015 · sole proprietor

Practice

Address
715 Port St Apt 2
Crockett, CA 94525
Phone
(510) 860-6324

Registry record

Primary taxonomy
Substance Abuse Rehabilitation Facility
324500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-09-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California