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DEPARTMENT OF ALCOHOL AND DRUG SERVICES NPI 1205958097


NPI Information

NPI: 1205958097
Provider Name: DEPARTMENT OF ALCOHOL AND DRUG SERVICES

Doing Business As: CENTRAL TREATMENT AND RECOVERY

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
976 LENZEN AVE FL 1
SAN JOSE, CA
ZIP 95126
Phone: (408) 792-5643
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DEPARTMENT OF ALCOHOL AND DRUG SERVICES is an addiction (substance use disorder) counselor in San Jose, CA. DEPARTMENT OF ALCOHOL AND DRUG SERVICES NPI is 1205958097. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Central Treatment And Recovery.

The provider's business location address is:

976 LENZEN AVE FL 1
SAN JOSE, CA
ZIP 95126-737
Phone: (408) 792-5643
Fax: (408) 947-8719

The provider's authorized official is Bob Gardner .
The authorized official title is Director and has the following contact phone number (408) 792-5656.

The enumeration date for this NPI number is 4/4/2007 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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YA0400XCounselorAddiction (Substance Use Disorder)CALIFORNIAYes

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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