NPIMap

Organization Active NPI

Drug Abuse Alternatives Center

Doing business as Brookwood OPT Clinic

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Santa Rosa, CA
National Provider Identifier
1578807202
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
DRUG ABUSE ALTERNATIVES CENTER
Doing business as
Brookwood OPT Clinic
Practice address
983 Sonoma Avenue
Santa Rosa, CA 95404-4818
Phone
(707) 583-8700
Fax
(707) 303-1085
NPI assigned
Nov 19, 2012
Last updated
Dec 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Mr. John Challis
Title
Center Point Vice President, Daac M
Phone
(415) 526-2943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

983 Sonoma Avenue
Santa Rosa, CA 95404-4818

Mailing address

2403 Professional Drive
Suite 102
Santa Rosa, CA 95403-3007
Phone (707) 571-2233

Other names 1

  • Brookwood OPT Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Drug Abuse Alternatives Ctr10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1578807202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 PROFESSIONAL DRIVE",
            "address_2": "SUITE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033007",
            "telephone_number": "707-571-2233",
            "fax_number": "707-571-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 SONOMA AVENUE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044818",
            "telephone_number": "707-583-8700",
            "fax_number": "707-303-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG ABUSE ALTERNATIVES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "CHALLIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CENTER POINT VICE PRESIDENT, DAAC M",
        "authorized_official_telephone_number": "415-526-2943",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookwood OPT Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.