CDT Service Corporation | NPI 1881735587

Key facts

NPI: 1881735587
Entity type: Organization (NPI type 2)
Primary specialty: Substance Abuse Rehabilitation Facility 324500000X
Legal business name: CDT SERVICE CORPORATION
Practice address: 6380 Wells Ave
Loomis, CA 95650-9302
Phone: (916) 784-1149
Fax: (866) 336-7276
NPI assigned: Feb 8, 2007
Organization subpart: Yes
Parent organization (as reported): CDT SERVICE CORPORATION

Authorized official

Name: Ross Stuart Morton
Title: Ceo
Phone: (916) 784-1149

Practitioners 2

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

Christian Robert Small, MD Psychiatry Physician · Escondido, CA · NPI 1740546209

NPD (past)
Sierra Smith, RD Registered Dietitian · San Rafael, CA · NPI 1225424138

NPD (past)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
05D2131177	New Dawn Villa Ladera 6380 Wells Ave, Loomis, CA 95650	Certificate of waiver	Jan 29, 2028

National Provider Directory

Part of: CDT Service Corporation

Locations

3598 Annabelle Ave
Roseville, CA 95661

3 Harbor Dr
Ste 110
Sausalito, CA 94965

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric Residential Treatment Facility	323P00000X
Substance Abuse Rehabilitation Facility	324500000X			Yes

Addresses

Primary practice location

6380 Wells Ave
Loomis, CA 95650-9302

Mailing address

11230 Gold Express Dr # 310-353
Gold River, CA 95670-4484
Phone (916) 784-1149

Other names

New Dawn Treatment Centers - Villa Ladera Doing business as

Other providers in Loomis, CA

All providers in Loomis, 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 May 4, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.