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ADDICTION INTERVENTION RESOURCES NPI 1114129814


NPI Information

NPI: 1114129814
Provider Name: ADDICTION INTERVENTION RESOURCES
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
405 N BROADWAY ST
FRESNO, CA
ZIP 93701
Phone: (559) 486-3146
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ADDICTION INTERVENTION RESOURCES is a substance abuse treatment and children substance abuse rehabilitation facility in Fresno, 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. ADDICTION INTERVENTION RESOURCES NPI is 1114129814. The provider is registered as an organization entity type.

The provider's business location address is:

405 N BROADWAY ST
FRESNO, CA
ZIP 93701-513
Phone: (559) 486-3146
Fax: (559) 486-3146

The provider's authorized official is Linda Gibson .
The authorized official title is Administrator and has the following contact phone number (559) 486-3146.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 8/22/2020.


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
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children1006CALIFORNIAYes

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: 11/14/2023

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