MEXICAN AMERICAN ADDICTION PROGRAM INC. NPI 1689814592

NPI Information

  • NPI: 1689814592
  • Provider Name: MEXICAN AMERICAN ADDICTION PROGRAM, INC.
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Former Legal Business Name: MEXICAN AMERICAN ALCOHOLISM PROGRAM, INC.
  • Address: 3612 MADISON AVE
    SUITES 29
    NORTH HIGHLANDS, CA
    ZIP 95660
  • Phone: (916) 338-6835

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NPI Details

MEXICAN AMERICAN ADDICTION PROGRAM, INC. is a rehabilitation and substance use disorder clinic center in North Highlands, CA. MEXICAN AMERICAN ADDICTION PROGRAM, INC. NPI is 1689814592. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Mexican American Alcoholism Program, Inc..

The provider's business location address is:

3612 MADISON AVE
SUITES 29
NORTH HIGHLANDS, CA
ZIP 95660-068
Phone: (916) 338-6835
Fax: (916) 339-1340

The provider's authorized official is Paul Cruz .
The authorized official title is Executive Director and has the following contact phone number (916) 394-3481.

The enumeration date for this NPI number is 3/5/2009 and was last updated on 3/19/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral Health340004CNCALIFORNIANo
2261QR0405XClinic/CenterRehabilitation, Substance Use Disorder340004CNCALIFORNIAYes

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This page was last updated on: 3/30/2025

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