Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY FERREIRA
Active Sole ProprietorKELLY FERREIRA is a Substance Abuse Rehabilitation Facility healthcare provider located in CROCKETT, California. NPI 1629445085 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · CROCKETT, CA
Registration Details
- NPI Number
- 1629445085
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2015 (10.982753041689 yrs)
- Last Updated
- Sep 1, 2015
- License
-
C2080275 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
715 PORT ST APT 2CROCKETT, CA, 945251120Browse CA providers · Browse ZIP 94525
- Phone
- 5108606324
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.