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CHRIST ASSOCIATION NPI 1548706765


NPI Information

NPI: 1548706765
Provider Name: CHRIST ASSOCIATION

Doing Business As: LIFE LEADERSHIP ACADEMY

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
927 AMADOR STREET
VALLEJO, CA
ZIP 94510
Phone: (510) 473-2410
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CHRIST ASSOCIATION is a substance abuse rehabilitation facility in Vallejo, 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. CHRIST ASSOCIATION NPI is 1548706765. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Life Leadership Academy.

The provider's business location address is:

927 AMADOR STREET
VALLEJO, CA
ZIP 94510
Phone: (510) 473-2410

The provider's authorized official is David Hartfield-dyels .
The authorized official title is Ceo and has the following contact phone number (510) 473-2410.

The enumeration date for this NPI number is 1/11/2017 and was last updated on 11/24/2021.


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
2324500000XSubstance Abuse Rehabilitation FacilityYes

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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