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Robert Adam Johnson, SUDCOUNSELOR
Children's Substance Abuse Rehabilitation Facility in Lemon Grove, California
NPI 1134831498

Robert Adam Johnson is a Children's Substance Abuse Rehabilitation Facility based in Lemon Grove, CA and is specialized in Substance Abuse Treatment, Children. Robert Adam Johnson practices in Lemon Grove, CA and has the professional credentials of SUDCOUNSELOR. The NPI Number for Robert Adam Johnson is 1134831498 and holds a License No. (California).

The current practice location address for Robert Adam Johnson is 2219 Odessa Ct, Lemon Grove, CA and can be reached out via phone at 619-461-4871.

Location: 2219 Odessa Ct, Lemon Grove, CA, 91945-3609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134831498
Provider Name
Robert Adam Johnson
Credential
SUDCOUNSELOR
Provider Entity Type
Individual
Gender
Male
Address
2219 Odessa Ct, Lemon Grove, CA, 91945-3609
Phone Number
619-461-4871
Fax Number
Provider Enumeration Date
12/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2219 Odessa Ct
City
Lemon Grove
State
California
Zip
91945-3609
Phone Number
619-461-4871
Fax Number
person
Provider Business Mailing Address Details
Address
2219 Odessa Ct
City
Lemon Grove
State
California
Zip
91945-3609
Phone Number
619-461-4871
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
()
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 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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