Organization Active NPI

WCHS, Inc.

Doing business as Colton Clinical Services

  • Substance Abuse Rehabilitation Facility
  • Colton, CA
National Provider Identifier
1356000822
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
WCHS, INC.
Doing business as
Colton Clinical Services
Practice address
2275 E Cooley Dr
Colton, CA 92324-6324
Phone
(909) 370-1777
Fax
(909) 370-1776
NPI assigned
Dec 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Kim Sanderson
Title
President, CTC Division
Phone
(855) 259-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2275 E Cooley Dr
Colton, CA 92324-6324

Mailing address

2275 E Cooley Dr
Colton, CA 92324-6324
Phone (909) 370-1777

Other names 1

  • COLTON CLINICAL SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

2275 E Cooley Dr
Colton, CA 92324
Phone (909) 370-1777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1356000822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 E COOLEY DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246324",
            "telephone_number": "909-370-1777",
            "fax_number": "909-370-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 E COOLEY DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246324",
            "telephone_number": "909-370-1777",
            "fax_number": "909-370-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WCHS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-11-28",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT, CTC DIVISION",
        "authorized_official_telephone_number": "855-259-2288"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLTON CLINICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.