ALCOHOL & DRUG AWARENESS PROGRAM (NPI# 1386123719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386123719 |
| Entity Type | Organization |
| Organization Name | ALCOHOL & DRUG AWARENESS PROGRAM |
| Other Organization Name | NEW DIRECTION |
| Practice Address |
1981 Cherokee Rd Stockton CA 95205-2720 |
| Mailing Address |
Po Box 5070 Stockton CA 95205-0070 |
| Practice Telephone | 2098706500 |
| Practice Fax Number | 2094740697 |
| Mailing Telephone | 2098706500 |
| Mailing Fax Number | 2093372108 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | MR. DALE LAWRENCE BENNER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2098706500 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| new direction | Doing Business As Name - Organization |
| Street Address |
1981 CHEROKEE RD |
| City | STOCKTON |
| State | CA |
| Zip Code | 95205-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801081 | Telegenx, LLC | Durable Medical Equipment & Medical Supplies | 127 S Locust St, Stockton, CA 95205 | 2020-08-12 |
| 1487130191 | Rassiwala Dental Corporation | Dentist | 2043 E Fremont St Ste 8, Stockton, CA 95205 | 2018-07-16 |
| 1518464692 | Szarisse Fernandez | Pharmacist | 2040 E. Mariposa Rd., Stockton, CA 95205 | 2018-04-06 |
| 1467820019 | San Joaquin County Bhs | Non-emergency Medical Transport (VAN) | 1149 N. El Dorado St., Stockton, CA 95205 | 2015-09-11 |
| 1346617651 | Kevin G.y. Tom | Pharmacist | 1528 Fremont St, Stockton, CA 95205 | 2015-08-24 |
| 1578749149 | Peebles Family Care Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 404 North Broadway Ave, Stockton, CA 95205 | 2008-01-14 |
| 1780874149 | Mv Transportation | Non-emergency Medical Transport (VAN) | 1250 South Wilson Way, Mv Transportation Ste #a1, Stockton, CA 95205 | 2007-07-31 |
| 1467513549 | Stockton Pharmacy | Pharmacy | 3330 E Main St, Stockton, CA 95205 | 2006-12-13 |
| 1174155170 | Phillip Brandon Long | Pharmacist | 2040 E Mariposa Rd, Stockton, CA 95205 | 2020-02-07 |
| 1558904136 | Angela Moss Burns | Counselor | 430 N Pilgrim St, Stockton, CA 95205 | 2019-10-25 |
| Find all providers in zip 95205 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811395288 | Pacific Center for Addiction Services Inc. | Substance Abuse Rehabilitation Facility | 808 N Center St, Stockton, CA 95202-1610 | 2014-12-16 |
| 1528335791 | Stockton Circle of Friends Adult Programs | Substance Abuse Rehabilitation Facility | 3120 E Anita St, Stockton, CA 95205-3905 | 2011-11-16 |
| 1588295265 | Regina Prado | Substance Abuse Rehabilitation Facility | 1212 N California St, Stockton, CA 95202-1552 | 2020-01-30 |
| 1619477239 | Aegis Treatment Center | Substance Abuse Rehabilitation Facility | 1839 S El Dorado St, Stockton, CA 95206-2025 | 2018-02-20 |
| 1225494776 | South Stockton Circle of Friends Adult Alcohol and Drug Treatment Fac. | Substance Abuse Rehabilitation Facility | 1484 Carpenter Rd, Stockton, CA 95206-3805 | 2016-01-13 |
| 1831354786 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 1609 N Wilson Way, Stockton, CA 95205-3119 | 2008-07-21 |
| 1578736062 | El Dorado House | Substance Abuse Rehabilitation Facility | 1700 S El Dorado St, Stockton, CA 95206-2000 | 2008-04-07 |
| 1225241433 | Elan Senior Living | Substance Abuse Rehabilitation Facility | 4410 N Pershing Ave, Suite C-1, Stockton, CA 95207-6900 | 2007-05-07 |
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| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| 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.