Ncadd

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

I8316110 Issued in CA

Legal business name

NCADD

Practice address

2143 Hurley Way
Suite 130
Sacramento, CA 95825-3253

Phone

(916) 924-5110

Fax

(916) 921-1239

NPI assigned

Mar 26, 2013

Last updated

Mar 26, 2013By 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

Ms. Mary Pruitt, CAS

Title

Ncac

Phone

(916) 922-5110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1376885574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 HURLEY WAY",
            "address_2": "SUITE 130",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253253",
            "telephone_number": "916-924-5110",
            "fax_number": "916-921-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 HURLEY WAY",
            "address_2": "SUITE 130",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253253",
            "telephone_number": "916-924-5110",
            "fax_number": "916-921-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCADD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "NCAC",
        "authorized_official_telephone_number": "916-922-5110",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CAS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "I8316110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Sacramento, CA
• Providers in Sacramento, 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 Mar 26, 2013; 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.