Recovery Connection | |
604 Broadway St Vallejo CA 94590-3323 | |
(707) 558-0104 | |
Not Available |
Full Name | Recovery Connection |
---|---|
Speciality | Substance Abuse Rehabilitation Facility |
Location | 604 Broadway St, Vallejo, California |
Authorized Official Name and Position | Jaime Campos (CEO) |
Authorized Official Contact | 9257987250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Recovery Connection 390 N Wiget Ln Ste 150 Walnut Creek CA 94598-2468 Ph: (925) 798-7250 | Recovery Connection 604 Broadway St Vallejo CA 94590-3323 Ph: (707) 558-0104 |
NPI Number | 1851563159 |
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Provider Enumeration Date | 03/26/2008 |
Last Update Date | 09/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851563159 | NPI | - | NPPES |
4825 | Other | CA | DRUG MEDICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 480002GN (California) | Secondary |
324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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