NPIMap

Organization Active NPI

El Centro Adult Substance Use Disorder Treatment Program

  • Substance Use Disorder Rehabilitation Clinic/Center
  • El Centro, CA
National Provider Identifier
1972791408
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EL CENTRO ADULT SUBSTANCE USE DISORDER TREATMENT PROGRAM
Practice address
2695 S 4TH St
El Centro, CA 92243-6012
Phone
(442) 265-1525
NPI assigned
Oct 10, 2007
Organization subpart
Yes
Parent organization
IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
Andrea Kuhlen
Title
Director
Phone
(442) 265-1525

Specialties & licenses 1

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

Addresses

Primary practice location

2695 S 4TH St
El Centro, CA 92243-6012

Mailing address

202 N 8TH St
El Centro, CA 92243-2302
Phone (442) 265-1525

Other names 1

  • Adult ODF Recovery Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Imperial County Behavioral Health53 organizations share this tax ID, including this one
Part of
Imperial County Behavioral Health

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

2695 S 4th St
El Centro, CA 92243
Phone (442) 265-7650

2695 S 4th St
Ste A
El Centro, CA 92243
Phone (442) 265-7650

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1972791408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N 8TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432302",
            "telephone_number": "442-265-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 S 4TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922436012",
            "telephone_number": "442-265-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CENTRO ADULT SUBSTANCE USE DISORDER TREATMENT PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES",
        "enumeration_date": "2007-10-10",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "KUHLEN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "442-265-1525"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult ODF Recovery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.