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Mr. Michael William Mandel
Substance Abuse Rehabilitation Facility in Fremont, California
NPI 1790924074

Michael William Mandel is a Substance Abuse Rehabilitation Facility based in Fremont, CA. Michael William Mandel practices in Fremont, CA. The NPI Number for Michael William Mandel is 1790924074 and holds a License No. 010010AN (California).

The current practice location address for Michael William Mandel is 4510 Peralta Blvd Ste 1, Fremont, CA and can be reached out via phone at 510-713-3202 and via fax at 510-713-0684.

Location: 4510 Peralta Blvd Ste 1, Fremont, CA, 94536-5755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790924074
Provider Name
Michael William Mandel
Credential
Provider Entity Type
Individual
Gender
Male
Address
4510 Peralta Blvd Ste 1, Fremont, CA, 94536-5755
Phone Number
510-713-3202
Fax Number
510-713-0684
Provider Enumeration Date
02/11/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4510 Peralta Blvd Ste 1
City
Fremont
State
California
Zip
94536-5755
Phone Number
510-713-3202
Fax Number
510-713-0684
person
Provider Business Mailing Address Details
Address
4510 Peralta Blvd Ste 1
City
Fremont
State
California
Zip
94536-5755
Phone Number
510-713-3202
Fax Number
510-713-0684
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
010010AN (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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