Organization
JBLOCKSHIN & ASSOCIATES LLC
Active
Other names
A Wise Retreat
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE BRAND-LOCKSHIN CADC-CAS, CWTS (EXECUTIVE DIRECTOR)
(707) 712-7733
Entity
Organization
Contact information
Practice address
4749 GEORGIA ST, VALLEJO, CA 94591-6854
(707) 712-7733
Mailing address
4749 GEORGIA ST, VALLEJO, CA 94591-6854
(707) 712-7733
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
480035AP
CA
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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