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BREAKING THE CYCLE OF ADDICTION NPI 1598227910


NPI Information

NPI: 1598227910
Provider Name: BREAKING THE CYCLE OF ADDICTION

Former Legal Business Name: BREAKING THE CYCLE OF ADDICTION

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
6011 STACY AVE
SACRAMENTO, CA
ZIP 95823
Phone: (916) 583-1035
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BREAKING THE CYCLE OF ADDICTION is an addiction (substance use disorder) counselor in Sacramento, CA. BREAKING THE CYCLE OF ADDICTION NPI is 1598227910. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Breaking The Cycle Of Addiction.

The provider's business location address is:

6011 STACY AVE
SACRAMENTO, CA
ZIP 95823-945
Phone: (916) 583-1035

The provider's authorized official is Marion Cornelius Wolfe .
The authorized official title is President and has the following contact phone number (916) 583-1035.

The enumeration date for this NPI number is 4/3/2019 and was last updated on 2/20/2020.


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)Yes
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11780942334OTHERCALIFORNIANPI-PERSONAL

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.