Organization Name: | TRI-CITIES |
NPI Number: | 1114132982 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHEREE HOWE (REGISTERED ADDICTION SPECIALIST) |
Mailing Address: | 2523 El Portal Dr Ste 206 San Pablo |
State: | CA US |
Postal Code: | 948063305 |
Phone Number: | 5103747017 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | H0501041746 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |