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JBLOCKSHIN & ASSOCIATES LLC NPI 1629510557


NPI Information

NPI: 1629510557
Provider Name: JBLOCKSHIN & ASSOCIATES LLC

Doing Business As: A WISE RETREAT

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
4749 GEORGIA ST
VALLEJO, CA
ZIP 94591
Phone: (707) 712-7733
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JBLOCKSHIN & ASSOCIATES LLC is a substance abuse rehabilitation facility in Vallejo, CA. The provider is 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. JBLOCKSHIN & ASSOCIATES LLC NPI is 1629510557. The provider is registered as an organization entity type.
The provider Is Doing Business As A Wise Retreat.

The provider's business location address is:

4749 GEORGIA ST
VALLEJO, CA
ZIP 94591-854
Phone: (707) 712-7733

The provider's authorized official is Julie Brand-lockshin .
The authorized official title is Executive Director and has the following contact phone number (707) 712-7733.

The enumeration date for this NPI number is 11/9/2016 and was last updated on 11/9/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility480035APCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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