ADDICTION INTERVENTION RESOURCES (NPI# 1114129814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114129814 |
| Entity Type | Organization |
| Organization Name | ADDICTION INTERVENTION RESOURCES |
| Practice Address |
405 N Broadway St Fresno CA 93701-1513 |
| Practice Telephone | 5594863146 |
| Practice Fax Number | 5594863146 |
| Mailing Telephone | 5594863146 |
| Mailing Fax Number | 5594863146 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LINDA GIBSON (ADMINISTRATOR) |
| Authorized Official Telephone | 5594863146 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
1006 | CA | Residential Treatment Facilities |
| Street Address |
405 N BROADWAY ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93701-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396880811 | Betty Lorraine Harris | Counselor | 405 N Broadway St, Fresno, CA 93701-1513 | 2007-02-21 |
| 1376744318 | Linda Gibson | Counselor | 405 N Broadway St, Fresno, CA 93701-1513 | 2007-05-29 |
| 1336274786 | Roy L Hensley | Counselor | 405 N Broadway St, Fresno, CA 93701-1513 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1235650391 | Plastic Surgery Partners of Fresno Inc | Plastic Surgery | 215 N Fresno St, Ste 490, Fresno, CA 93701 | 2017-06-29 |
| 1205369790 | Amy Alagh | Student in an Organized Health Care Education/Training Program | 155 N Fresno Street, Fresno, CA 93701 | 2017-04-11 |
| 1922462159 | Henry Matthew Dunn | Student in an Organized Health Care Education/Training Program | Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 | 2016-04-13 |
| Find all providers in zip 93701 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962724120 | Eureka Program | Substance Abuse Rehabilitation Facility | 916 Waterman Ave, Fresno, CA 93706-3762 | 2010-02-15 |
| 1235631391 | Eureka Programs LLC | Substance Abuse Rehabilitation Facility | 916 Waterman Ave, Fresno, CA 93706-3762 | 2018-03-05 |
| 1447752548 | Kim'e Woods | Substance Abuse Rehabilitation Facility | 916 Waterman Ave, Fresno, CA 93706-3762 | 2018-03-05 |
| 1326468414 | Word of Life Evangelistic Ministry | Substance Abuse Rehabilitation Facility | 2848 Mariposa St, Fresno, CA 93721-1308 | 2014-04-16 |
| 1184991291 | Westcare California | Substance Abuse Rehabilitation Facility | 2772 Martin L King Jr Blvd, Fresno, CA 93706-5345 | 2011-11-18 |
| 1184880486 | Mental Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 190 N Van Ness Ave, Fresno, CA 93701-1672 | 2008-08-06 |
| 1609992882 | Aida Monika Moya | Substance Abuse Rehabilitation Facility | 3333 E American Ave, Fresno, CA 93725-9235 | 2007-03-21 |
| 1952438467 | Westcare | Substance Abuse Rehabilitation Facility | 611 E Belmont Ave, Fresno, CA 93701-1502 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275620 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 80 W Nicasio, San Geronimo, CA 94963 | 2020-11-05 |
| 1013518042 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 1208 Via Aracena, Camarillo, CA 93010-7440 | 2020-11-05 |
| 1609477645 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 1850 Calle Alberca, Camarillo, CA 93010-1811 | 2020-11-05 |
| 1467053736 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 615 Bugeia Ln, Novato, CA 94945-1517 | 2020-11-04 |
| 1376144642 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 100 Avocado Pl, Camarillo, CA 93010-8467 | 2020-11-04 |
| 1285235556 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 7210 Johnston Rd, Pleasanton, CA 94588-9466 | 2020-11-04 |
| 1780282988 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 2891 I Street Ext, Petaluma, CA 94952-9521 | 2020-10-12 |
| 1720692577 | Muir Wood, LLC. | Substance Abuse Rehabilitation Facility | 1743 Skillman Lane, Petaluma, CA 94952-9495 | 2020-08-31 |
| 1598376816 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 6868 Cold Springs Rd, Penngrove, CA 94951-9722 | 2020-08-11 |
| 1770194060 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 195 S Peralta Hills Dr, Anaheim, CA 92807-3424 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.