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County of Calaveras

Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · San Andreas, CA

NPI 1053972885 · NPPES record last updated Sep 16, 2025

Key facts

NPI
1053972885
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Legal business name
COUNTY OF CALAVERAS
Practice address
590 Toyanza Drive
San Andreas, CA 95249-9713
Phone
(209) 754-6525
Fax
(209) 754-6597
NPI assigned
Jun 24, 2019
Organization subpart
Yes
Parent organization (as reported)
CALAVERAS COUNTY SUBSTANCE ABUSE PROGRAM

Authorized official

Name
Stacey Meily
Title
BHS Program Manager
Phone
(209) 754-6516

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
County of Calaveras (8 organizations share this tax ID)
Part of
County of Calaveras

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Yes

Addresses

Primary practice location

590 Toyanza Drive
San Andreas, CA 95249-9713

Mailing address

891 Mountain Ranch Rd
San Andreas, CA 95249-9713
Phone (209) 754-6525

Other providers in San Andreas, CA

All providers in San Andreas, CA · Substance Use Disorder Rehabilitation Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.