Individual
RICHARD SLOTTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
440 ARROWOOD DR, SANTA ROSA, CA 95407-7503
(707) 284-2955
Mailing address
440 ARROWOOD DR, SANTA ROSA, CA 95407-7503
(707) 284-2955
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CATC 167487 IV
CAADE
CA
Enumeration date
09/16/2016
Last updated
09/16/2016
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