Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MARIE FOREMAN
Active Sole ProprietorKELLY MARIE FOREMAN is a Children's Substance Abuse Rehabilitation Facility healthcare provider located in FRENCH CAMP, California. NPI 1770140600 is currently active in the NPPES registry. Verify at CMS.
Children's Substance Abuse Rehabilitation Facility · FRENCH CAMP, CA
Registration Details
- NPI Number
- 1770140600
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 27, 2019 (7.2584098005283 yrs)
- Last Updated
- May 27, 2019
- License
-
390002EN (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 W HOSPITAL RDFRENCH CAMP, CA, 952319693Browse CA providers · Browse ZIP 95231
- Phone
- 2094686013
- Fax
- 2094687032
- Primary Specialty
-
Children's Substance Abuse Rehabilitation Facility
3245S0500X
Other Children's Substance Abuse Rehabilitation Facility Providers in FRENCH CAMP, CA
| Name | Credential | NPI |
|---|---|---|
| SERENA ALICIA JONES | — | 1881252690 |
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.