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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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
San Rafael
State
California
Zip
94903-1555
Phone Number
415-535-5554
Fax Number
person
Provider Business Mailing Address Details
Address
67 Grande Paseo
City
San Rafael
State
California
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
324500000X
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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