Johnson, Goretha

Johnson, Goretha is an sole proprietor health care provider with primary practice located at 12960 San Pablo Ave , Richmond CA 94805-1307. She recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Johnson, Goretha can be contacted via phone (510) 215-2280.

Contact Information

Primary practice address
12960 San Pablo Ave Richmond CA 94805-1307
Phone: (510) 215-2280
Fax: (510) 215-2283
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1700273950
LBN Legal business name Johnson, Goretha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2015
Last updated Apr 24th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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