SearchCaliforniaSubstance Abuse Rehabilitation Facility

Jacob Souza

NPI 1902334360 · on the registry since 2017 · sole proprietor

Practice

Address
4340 Maury Ave
Long Beach, CA 90807
Phone
(562) 270-6344
Clinicians at this address
2

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
2017-05-30

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