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FORD STREET PROJECT NPI 1073946547


NPI Information

NPI: 1073946547
Provider Name: FORD STREET PROJECT

Doing Business As: UKIAH RECOVERY CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
201 BRUSH ST
UKIAH, CA
ZIP 95482
Phone: (707) 462-1934
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FORD STREET PROJECT is a substance abuse rehabilitation facility in Ukiah, CA. The provider is 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. FORD STREET PROJECT NPI is 1073946547. The provider is registered as an organization entity type.
The provider Is Doing Business As Ukiah Recovery Center.

The provider's business location address is:

201 BRUSH ST
UKIAH, CA
ZIP 95482-424
Phone: (707) 462-1934
Fax: (707) 468-9860

The provider's authorized official is Jacqueline Williams .
The authorized official title is Executive Director and has the following contact phone number (707) 462-1934.

The enumeration date for this NPI number is 8/19/2013 and was last updated on 5/7/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility230004ANCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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