person
Robert Bostonian
Substance Abuse Rehabilitation Facility in San Rafael, California
NPI 1295104420

Robert Bostonian is a Substance Abuse Rehabilitation Facility based in San Rafael, CA. Robert Bostonian practices in San Rafael, CA. The NPI Number for Robert Bostonian is 1295104420 and holds a License No. 122932 (California).

The current practice location address for Robert Bostonian is 67 Grande Paseo, San Rafael, CA and can be reached out via phone at 415-535-5554.

Location: 67 Grande Paseo, San Rafael, CA, 94912-3517
person
Provider Profile Details
NPI Number
1295104420
Provider Name
Robert Bostonian
Credential
Provider Entity Type
Individual
Gender
Male
Address
67 Grande Paseo, San Rafael, CA, 94912-3517
Phone Number
415-535-5554
Fax Number
Provider Enumeration Date
09/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
67 Grande Paseo
City
State
Zip
94903-1555
Phone Number
415-535-5554
Fax Number
person
Provider Business Mailing Address Details
Address
67 Grande Paseo
City
State
Zip
94903-1555
Phone Number
415-535-5554
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
122932 (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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