Rehoboth Drug and Alcohol Prevention Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

REHOBOTH DRUG AND ALCOHOL PREVENTION CENTER

Practice address

568 W Compton Blvd
Compton, CA 90220

Phone

(310) 663-0789

Fax

(310) 627-9130

NPI assigned

Dec 10, 2009

Last updated

Aug 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Adefemi Olufisayo Adegbesan, MED

Title

Chief Executive Officer

Phone

(310) 663-0789

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1265761811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 W COMPTON BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203011",
            "telephone_number": "310-663-0789",
            "fax_number": "310-627-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 W COMPTON BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "90220",
            "telephone_number": "310-663-0789",
            "fax_number": "310-627-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH DRUG AND ALCOHOL PREVENTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "ADEGBESAN",
        "authorized_official_first_name": "ADEFEMI",
        "authorized_official_middle_name": "OLUFISAYO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-663-0789",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "19DG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyrone Reed
• Judy M Reese-Crockett
• Cagen Reese
• Rehoboth Courage Center (Rehoboth Drug And Alcohol Prevention Center)
• Rehoboth Courage Center (Rehoboth drug and alcohol prevention center)
• Renew Integrated Program-2 Inc.
• Nancy Zulma Renoj
• Celeste Antonia Renteria
• Jameka Nacole Reynolds, MSW
• Tameka Tashawn Reynolds, LVN

• Substance Abuse Rehabilitation Facility in Compton, CA
• Providers in Compton, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.