NPIMap

Organization Active NPI

Glom Substance Abuse Program

  • Substance Abuse Rehabilitation Facility
  • Galt, CA
National Provider Identifier
1245805308
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GLOM SUBSTANCE ABUSE PROGRAM
Practice address
10898 Boessow Rd
Galt, CA 95632-8451
Phone
(925) 570-3282
NPI assigned
May 21, 2021
Last updated
Mar 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Allen Turner
Title
Ceo
Phone
(925) 443-3680

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

10898 Boessow Rd
Galt, CA 95632-8451

Mailing address

3123 Independence Dr
Livermore, CA 94551-7595
Phone (925) 570-3282

Other practice location 1

13386 Marengo Rd
Galt, CA 95632-8429
Phone (925) 570-3282

Other practice location 2

1111 W Tokay St Ste A
Lodi, CA 95240-3965
Phone (925) 570-3282

National Provider Directory

National Provider Directory
Tax ID family
Gods Love Outreach Ministries10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1111 W Tokay St
Ste A
Lodi, CA 95240
Phone (209) 412-2388

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1245805308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 INDEPENDENCE DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945517595",
            "telephone_number": "925-570-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10898 BOESSOW RD",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956328451",
            "telephone_number": "925-570-3282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13386 Marengo Rd",
            "address_purpose": "LOCATION",
            "city": "Galt",
            "state": "CA",
            "postal_code": "956328429",
            "country_code": "US",
            "telephone_number": "925-570-3282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 W Tokay St Ste A",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "CA",
            "postal_code": "952403965",
            "country_code": "US",
            "telephone_number": "925-570-3282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLOM SUBSTANCE ABUSE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-443-3680"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galt, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.