SUCCESSFUL ALTERNATIVES FOR ADDICTION


Address: 1628 Broadway Street, Vallejo, CA 94590-2405
Phone: 7076498300

SUCCESSFUL ALTERNATIVES FOR ADDICTION (NPI# 1154548535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154548535
Entity Type Organization
Organization Name SUCCESSFUL ALTERNATIVES FOR ADDICTION
Other Organization Name MEDMARK TREATMENT CENTER - VALLEJO
Practice Address 1628 Broadway Street
Vallejo
CA 94590-2405
Mailing Address 1720 Lakepointe Dr Ste 117
Lewisville
TX 75057-6425
Practice Telephone 7076498300
Practice Fax Number 7076498302
Mailing Telephone 2143793300
Mailing Fax Number 2148539018
Enumeration Date 2007-04-19
Last Update Date 2020-07-15
Authorized Official Name BOND ANDREWS (VP, REVENUE CYCLE MANAGEMENT)
Authorized Official Telephone 2143793398
Is Organization Subpart Y
Parent Organization Name MEDMARK SERVICES, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
48-02 CA Behavioral Health & Social Service Providers
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
48-04 CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA OTP LICENSE 48-04 01

Other Provider/Organization Names

Other Name Type Code
Medmark Treatment Center - Vallejo Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952529711 Successful Alternatives for Addiction Counselor 795 Fletcher Lane, Hayward, CA 94544-1008 2007-04-24

Office Location

Street Address 1628 BROADWAY STREET
City VALLEJO
State CA
Zip Code 94590-2405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376995340 Latasha Sterrett Counselor 1628 Broadway Street, Vallejo, CA 94590 2016-07-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265051445 Jaspreet Bains Licensed Vocational Nurse 508 Alabama Street, Vallejo, CA 94590 2020-04-08
1467097527 Deneane Hannon Behavioral Analyst 238 Georgia St. Ste 102, Vallejo, CA 94590 2019-11-13
1780243196 Abla Harara Almoraissi Health Educator John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 2019-06-10
1891264461 Brian Emory Kellogg Marriage & Family Therapist 525 Oregon St., Php/iop, Vallejo, CA 94590 2018-11-13
1952801862 Carica Theresa Saraza Macariola Specialist/Technologist 1007 Solano Avenue, Vallejo, CA 94590 2018-02-16
1770007973 Deborah A Johnson-white Licensed Vocational Nurse 908 Tuolumne, Vallejo, CA 94590 2017-07-29
1306378260 Edgar Diaz Counselor 236 Georgia Street Suite 101, Vallejo, CA 94590 2017-03-30
1528440096 Soren Perry Counselor 236 Georgia St., Vallejo, CA 94590 2015-06-22
1518366327 Kimberly A Holland Counselor 631 Tennessee Street Suite 201, Vallejo, CA 94590 2014-08-18
1841605193 Lawana Lofton Psychologist 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 2014-06-25
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Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548505639 Medmark Treament Services Clinic/Center 1628 Broadway St, Vallejo, CA 94590-2405 2012-11-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083224141 Aegis Treatment Centers, LLC Clinic/Center 1450 Bessie Ave Ste B, Tracy, CA 95376-3456 2020-08-04
1093323222 City and County of San Francisco Clinic/Center 1001 Potrero Ave # Ward86, San Francisco, CA 94110-3518 2020-07-14
1548899644 Bella Team Ltd. Clinic/Center 2618 San Miguel Dr Ste 1288, Newport Beach, CA 92660-5437 2020-04-02
1386280899 Western Pacific Med-corp Clinic/Center 26921 Crown Valley Pkwy Ste 200, Mission Viejo, CA 92691-6501 2019-11-19
1518501527 Harmonic Solutions LLC Clinic/Center 1776 Ygnacio Valley Rd Ste 206, Walnut Creek, CA 94598-3125 2019-11-01
1326698887 Aegis Treatment Centers, LLC Clinic/Center 2107, 2109 & 2113 1st St, Eureka, CA 95501-0840 2019-09-17
1548819550 Aegis Treatment Centers, LLC Clinic/Center 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 2019-09-11
1306326699 Kristen Andree Rickard Clinic/Center 1153 Paradise Trail Rd, Chula Vista, CA 91915-2502 2018-08-16
1083141600 Baart Behavioral Health Services, Inc. Clinic/Center 1145 Market St Fl 10, San Francisco, CA 94103-1566 2017-05-13
1013448547 Coachella Valley Treatment Center Clinic/Center 81709 Dr Carreon Blvd Ste B1, Indio, CA 92201-5510 2017-03-26
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Competitor

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City VALLEJO
Zip Code 94590

Improve Information

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Dataset Information

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.

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