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NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE OF EAST SAN GABRIEL NPI 1417261983


NPI Information

NPI: 1417261983
Provider Name: NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE OF EAST SAN GABRIEL

Doing Business As: NCADD OF ESG & PV

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
4626 NORTH GRAND AVE
COVINA, CA
ZIP 91724
Phone: (626) 331-5316
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NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE OF EAST SAN GABRIEL is an addiction (substance use disorder) counselor in Covina, CA. NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE OF EAST SAN GABRIEL NPI is 1417261983. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Ncadd Of Esg & Pv.

The provider's business location address is:

4626 NORTH GRAND AVE
COVINA, CA
ZIP 91724-055
Phone: (626) 331-5316
Fax: (626) 332-2219

The provider's authorized official is Cheryl Ann Rvedi .
The authorized official title is Executive Director and has the following contact phone number (626) 331-5316.

The enumeration date for this NPI number is 7/27/2010 and was last updated on 7/27/2010.


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)19-003-01-123CALIFORNIANo
2101YA0400XCounselorAddiction (Substance Use Disorder)190241CNCALIFORNIAYes

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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