Alcohol Drug Care Services,Inc.
Organization Active NPI Substance Abuse Rehabilitation Facility · Eureka, CA
NPI 1467739003 · NPPES record last updated Nov 10, 2011
Key facts
- NPI
- 1467739003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 120009AN (CA)
- Legal business name
- ALCOHOL DRUG CARE SERVICES,INC.
- Practice address
- 528 5TH St
Eureka, CA 95501-1033 - Phone
- (707) 445-1391
- Fax
- (707) 445-2599
- NPI assigned
- Nov 10, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Scott Jack Cunningham, CAS
- Title
- Executive Director
- Phone
- (707) 445-1391
Subparts reporting this organization as parent 2
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Waterfront Recovery Services
Locations
528 5th St
Eureka, CA 95501
Phone (707) 445-1391
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 120009AN | CA | Yes |
| Substance Abuse Rehabilitation Facility | 324500000X | 120009CN | CA |
Addresses
Primary practice location
528 5TH St
Eureka, CA 95501-1033
Mailing address
528 5TH St
Eureka, CA 95501-1033
Phone (707) 445-1391
Other providers in Eureka, CA
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- April Diane Alexander
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All providers in Eureka, CA · Substance Abuse Rehabilitation Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.