Men and Women of Purpose
NPI #1770919946 in Richmond, California
Provider Information
- NPI Number
- 1770919946
- Entity Type
- Organization
- Organization Name
- Men and Women of Purpose
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Sep 19, 2013
- Last Updated
- Sep 19, 2013
Practice Location
- Address
- 3029 MACDONALD AVE
- City
- Richmond
- State
- California
- ZIP Code
- 94804-3010
- Phone
- (510) 919-1302
Authorized Official
- Name
- MR. RICARDO JOSE FORTENBERRY, B.S.H.S. CAS II
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (510) 919-1302
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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