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Mr. Rudolph Johnson JR., CATC1
Substance Abuse Rehabilitation Facility in San Diego, California
NPI 1124579545

Rudolph Johnson JR. is a Substance Abuse Rehabilitation Facility based in San Diego, CA. Rudolph Johnson JR. practices in San Diego, CA and has the professional credentials of CATC1. The NPI Number for Rudolph Johnson JR. is 1124579545 and holds a License No. (California).

The current practice location address for Rudolph Johnson JR. is 6537 Reflection Dr Apt 105, San Diego, CA and can be reached out via phone at 619-727-7797.

Location: 6537 Reflection Dr Apt 105, San Diego, CA, 92124-3111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124579545
Provider Name
Rudolph Johnson JR.
Credential
CATC1
Provider Entity Type
Individual
Gender
Male
Address
6537 Reflection Dr Apt 105, San Diego, CA, 92124-3111
Phone Number
619-727-7797
Fax Number
Provider Enumeration Date
10/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6537 Reflection Dr Apt 105
City
San Diego
State
California
Zip
92124-3111
Phone Number
619-727-7797
Fax Number
person
Provider Business Mailing Address Details
Address
6537 Reflection Dr Apt 105
City
San Diego
State
California
Zip
92124-3111
Phone Number
619-727-7797
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
(California)
Definition
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.
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