Bodhi Addiction Treatment and Wellness
NPI #1174113963 in Capitola, California
Provider Information
- NPI Number
- 1174113963
- Entity Type
- Organization
- Organization Name
- Bodhi Addiction Treatment and Wellness
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jan 25, 2021
- Last Updated
- Jan 26, 2021
Practice Location
- Address
- 603 CAPITOLA AVE
- City
- Capitola
- State
- California
- ZIP Code
- 95010-2751
- Phone
- (831) 600-6021
Authorized Official
- Name
- JONATHAN BEAZLEY, CADC-CAS , RAS II
- Title
- OWNER
- Phone
- (831) 600-6021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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