MS. Goretha Johnson
MS. Goretha Johnson is a Substance Abuse Rehabilitation Facility in Richmond, California. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
12960 San Pablo AveRichmond, CA 94805-1307
Phone: (510) 215-2280
Fax: (510) 215-2283
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|---|
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X |
Record details
| NPI number | 1700273950 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 24, 2015 |
| Last updated in NPPES | April 24, 2015 |
| Mailing address | 4101 Leke Way, Richmond, CA 94806-1753 |
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