person
Willie James Cooper
Substance Abuse Rehabilitation Facility in Richmond, California
NPI 1194902262

Willie James Cooper is a Substance Abuse Rehabilitation Facility based in Richmond, CA. Willie James Cooper practices in Richmond, CA. The NPI Number for Willie James Cooper is 1194902262 and holds a License No. (California).

The current practice location address for Willie James Cooper is 820 23Rd St, Richmond, CA and can be reached out via phone at 510-229-5000 and via fax at 510-235-3112.

Location: 820 23Rd St, Richmond, CA, 94804-3423
person
Provider Profile Details
NPI Number
1194902262
Provider Name
Willie James Cooper
Credential
Provider Entity Type
Individual
Gender
Male
Address
820 23Rd St, Richmond, CA, 94804-3423
Phone Number
510-229-5000
Fax Number
510-235-3112
Provider Enumeration Date
01/30/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
820 23Rd St
City
State
Zip
94804-1338
Phone Number
510-229-5000
Fax Number
510-235-3112
person
Provider Business Mailing Address Details
Address
820 23Rd St
City
State
Zip
94804-1338
Phone Number
510-229-5000
Fax Number
510-235-3112
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
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 individuals with disorders in the abuse of drugs, alcohol, and other substances.
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