Organization
SHAMIA RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI RAIFORD (PROOGRAM COORDINATOR)
(707) 644-2577
Entity
Organization
Contact information
Practice address
126 OHIO ST, VALLEJO, CA 94590-5049
(707) 644-2577
Mailing address
126 OHIO ST, VALLEJO, CA 94590-5049
(707) 644-2577
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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