Addiction Alternatives for Opiate--Heroin, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

0000109 Issued in TX

Legal business name

ADDICTION ALTERNATIVES FOR OPIATE--HEROIN, INC.

Practice address

3322 E 5TH St
Tyler, TX 75701-5144

Phone

(903) 596-0606

Fax

(903) 596-0661

NPI assigned

Dec 2, 2010

Organization subpart

No

Name

Vincentine S Adelman, BSN, RN

Title

Program Sponsor

Phone

(903) 596-0606

Locations

• Add-Life Recovery Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2010.

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1295037885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015144",
            "telephone_number": "903-596-0606",
            "fax_number": "903-596-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015144",
            "telephone_number": "903-596-0606",
            "fax_number": "903-596-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION ALTERNATIVES FOR OPIATE--HEROIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "ADELMAN",
        "authorized_official_first_name": "VINCENTINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROGRAM SPONSOR",
        "authorized_official_telephone_number": "903-596-0606",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "TX",
            "license": "0000109",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "0000109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Add-Life Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Triplet Adams, NP-C
• Tynika Adams
• Adcock Chiropractic PLLC
• John E. Adcock, D.D.S., M.S.
• William Chad Adcock, DC
• Susan Ann Addie, N.P.
• Jumoke Elizabeth Adedeji
• Neil H Adelman, M.D
• Tequila Adeoye
• Bianca Simone Reed Adetutu, LMFT

• All providers in Tyler, TX
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.