Adcs Women'S Residential
Organization Active NPI Substance Abuse Rehabilitation Facility · Eureka, CA
NPI 1235689290 · NPPES record last updated Oct 13, 2016
Key facts
- NPI
- 1235689290
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 120009CN (CA)
- Legal business name
- ADCS WOMEN'S RESIDENTIAL
- Practice address
- 1742 J St
Eureka, CA 95501-2648 - Phone
- (707) 442-2232
- Fax
- (707) 442-2232
- NPI assigned
- Oct 13, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- ALCOHOL DRUG CARE SERVICES, INC
Authorized official
- Name
- Mr. John Bernard McManus, CATC
- Title
- Executive Director
- Phone
- (707) 445-1391
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Waterfront Recovery Services
- Part of
- Waterfront Recovery Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 120009CN | CA | Yes |
Addresses
Primary practice location
1742 J St
Eureka, CA 95501-2648
Mailing address
2109 Broadway Ste a
Suite a
Eureka, CA 95501-2106
Phone (707) 445-1391
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120009CN | Other | CA | DEPT OF HEALTH CARE SERVICES |
Other providers in Eureka, CA
- Active Care Chiropractic, Fogg Professional Corporation
- Rachael Adair
- Clare Walance Adams
- Kimberlee Adams
- Adaptive Behavioral Services, LLC
- Tolulope Adesanmi
- Godwin Adjekuko
- Aegis Treatment Centers, LLC
- Natalia Affonso Ferreira
- Alan Michael Aglugub
All providers in Eureka, CA · Substance Abuse Rehabilitation Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.