WILLIE JAMES COOPER NPI 1194902262

NPI Information

Willie James Cooper is a substance abuse rehabilitation facility in Richmond, 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. Willie James Cooper NPI is 1194902262. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

820 23RD ST
RICHMOND, CA
ZIP 94804-338
Phone: (510) 229-5000
Fax: (510) 235-3112

The enumeration date for this NPI number is 1/30/2008 and was last updated on 1/30/2008.

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:

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