location
search-icon
person
Edna Marie White, RDAT-1R1221770116
Substance Abuse Rehabilitation Facility in Vallejo, California
NPI 1679019152

Edna Marie White is a Substance Abuse Rehabilitation Facility based in Vallejo, CA. Edna Marie White practices in Vallejo, CA and has the professional credentials of RDAT-1R1221770116. The NPI Number for Edna Marie White is 1679019152 and holds a License No. R1221770116 (California).

The current practice location address for Edna Marie White is 126 Ohio St, Vallejo, CA and can be reached out via phone at 707-644-5577 and via fax at 707-644-5501.

Location: 126 Ohio St, Vallejo, CA, 94590-5049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679019152
Provider Name
Edna Marie White
Credential
RDAT-1R1221770116
Provider Entity Type
Individual
Gender
Female
Address
126 Ohio St, Vallejo, CA, 94590-5049
Phone Number
707-644-5577
Fax Number
707-644-5501
Provider Enumeration Date
01/09/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
126 Ohio St
City
Vallejo
State
California
Zip
94590-5049
Phone Number
707-644-5577
Fax Number
707-644-5501
person
Provider Business Mailing Address Details
Address
126 Ohio St
City
Vallejo
State
California
Zip
94590-5049
Phone Number
707-644-5577
Fax Number
707-644-5501
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
R1221770116 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.