Doctor Name: | MR. DANIEL JOE JOHNSON |
NPI Number: | 1467873505 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 280017AN |
Business Practice Address: | 2100 Napa Vallejo Hwy Bldg 253m1m2 Napa, CA - 945586234 |
Business Phone Number: | 7072571460 |
Business Fax Number: | 7072577524 |
Mailing Address: | 2747 Illinois St, NAPA |
State: | CA |
Postal Code: | 945585941 |
Phone Number: | 7073120380 |
Fax Number: | |
NPI Enumeration Date: | 12/16/2013 |
NPI Last Update Date: | 12/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 280017AN |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy 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. |