EDNA MARIE WHITE RDAT-1 R1221770116
NPI 1679019152
Substance Abuse Rehabilitation Facility in Vallejo, CA

Active since January 09, 2017
126 OHIO ST, VALLEJO, CA 94590(707) 644-5577(707) 644-5501 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edna Marie White Rdat-1 R1221770116 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDNA MARIE WHITE RDAT-1 R1221770116 (NPI 1679019152) is an individual substance abuse rehabilitation facility provider in Vallejo, California, licensed in California (R1221770116) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1679019152
Entity TypeIndividualFemale
Primary Taxonomy324500000X
Provider Legal NameEDNA MARIE WHITECredential: RDAT-1 R1221770116
Location Address126 OHIO STVallejo, CA 94590-5049
Mailing Address126 Ohio StVallejo, CA 94590-5049 · (707) 644-5577 · Fax (707) 644-5501
Fax(707) 644-5501
Sole ProprietorYes
Enumeration DateJanuary 9, 2017
NPI 1679019152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in CA · R1221770116
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
126 OHIO ST, Vallejo, CA 94590

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
126 OHIO ST
VALLEJO, CA 94590
Substance Abuse Rehabilitation Facility
126 OHIO ST
VALLEJO, CA 94590
Case Manager/Care Coordinator
126 OHIO ST
VALLEJO, CA 94590
Counselor (Addiction (Substance Use Disorder))
126 OHIO ST
VALLEJO, CA 94590
Counselor (Addiction (Substance Use Disorder))
126 OHIO ST
VALLEJO, CA 94590
Counselor (Addiction (Substance Use Disorder))
126 OHIO ST
VALLEJO, CA 94590
Case Manager/Care Coordinator
126 OHIO ST
VALLEJO, CA 94590
Counselor (Addiction (Substance Use Disorder))
126 OHIO ST
VALLEJO, CA 94590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edna White's NPI number?

The NPI number for Edna White is 1679019152. It was assigned to this individual provider in the NPPES registry on January 9, 2017.

Where is Edna White located?

Edna White practices at 126 Ohio St, Vallejo, CA 94590. The listed phone number is (707) 644-5577.

What is Edna White's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Edna White was last updated on January 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.