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Organization
ANTIOCH REHAB
Active
Organization
ANTIOCH REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN YOUNG (MANAGER)
(310) 343-8684
Entity
Organization
Contact information
Practice address
3720 SUNSET LN STE B, ANTIOCH, CA 94509-6124
(310) 343-8684
Mailing address
3720 SUNSET LN STE B, ANTIOCH, CA 94509-6124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
06/20/2023
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