AMERICAN DRUG RECOVERY PROGRAM, INC. (NPI# 1437402203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437402203 |
| Entity Type | Organization |
| Organization Name | AMERICAN DRUG RECOVERY PROGRAM, INC. |
| Practice Address |
21828 Avalon Blvd Carson CA 90745-3303 |
| Mailing Address |
2724 W Florence Ave Los Angeles CA 90043-5143 |
| Practice Telephone | 3237593464 |
| Practice Fax Number | 3237593427 |
| Mailing Telephone | 3237593464 |
| Mailing Fax Number | 3237593427 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |
| Authorized Official Name | MR. EHIGIMETOR INEGBENOISE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3237593464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
21828 AVALON BLVD |
| City | CARSON |
| State | CA |
| Zip Code | 90745-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285066753 | Lisa Yvonne Johnson | Counselor | 21828 Avalon Blvd, Carson, CA 90745-3303 | 2013-08-06 |
| 1689006561 | Montserrat Rivera Amlin | Counselor | 21828 Avalon Blvd, Carson, CA 90745-3303 | 2013-08-02 |
| 1790117505 | Laquandra M Mccree | Counselor | 21828 Avalon Blvd, Carson, CA 90745-3303 | 2013-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787696 | Michael Yoshio Sujishi | Technician/Technologist | 150 West Carson Street, Store 8839, Carson, CA 90745 | 2019-12-18 |
| 1891269262 | Cesar Carrasco Dds Inc | Dentist | 21847 S Avalon Blvd, Carson, CA 90745 | 2019-01-18 |
| 1427557305 | Stephanie Yunjung Ha | Nurse Practitioner | 23517 S. Main St., Carson, CA 90745 | 2018-02-06 |
| 1861911125 | Maria C Aluning | Dentist | 242 W. Carson St., Carson, CA 90745 | 2017-09-18 |
| 1144676024 | Omid Barkhordar Dental Corporation | Dentist | 101 West Carson Street, Carson, CA 90745 | 2016-05-10 |
| 1255720652 | Sandy Mauricio | Physical Therapy Assistant | 1804 E 215th St, Carson, CA 90745 | 2015-01-22 |
| 1275948994 | United Urgent Care and Wellness Center, Inc. | Clinic/Center | 522 West Carson Street, Carson, CA 90745 | 2014-06-23 |
| 1184052805 | Jumana B Hanna | Pharmacist | 500 Carson Town Center Kmart 4987 Pharmacy, Carson, CA 90745 | 2013-10-15 |
| 1679912422 | David J Chon | Dentist | 612 E Carson St #101, Carson, CA 90745 | 2013-06-14 |
| 1942644133 | Seema M Dave | Optometrist | 150 W Carson Street, Cvs Optical, Carson, CA 90745 | 2013-04-18 |
| Find all providers in zip 90745 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140430 | Deionna Lakeisha Souder | Community/Behavioral Health | 17861 Alderwood Ct, Carson, CA 90746-1694 | 2020-03-25 |
| 1720334014 | American Drug Recovery Program Inc | Community/Behavioral Health | 21805 Avalon Blvd, Carson, CA 90745-3304 | 2012-07-24 |
| 1306111265 | Dixon Recovery Institute,inc. 2 | Community/Behavioral Health | 500 E Carson Plaza Dr Ste 103, Carson, CA 90746-7323 | 2012-03-12 |
| 1851664726 | Hacc Inc | Community/Behavioral Health | 22328 Main St, Carson, CA 90745-4525 | 2012-02-22 |
| 1437476660 | Be Well Now Institute | Community/Behavioral Health | 20710 Leapwood Ave Ste C, Carson, CA 90746-3646 | 2010-04-28 |
| 1639332133 | Counseling & Research Associates, Inc. | Community/Behavioral Health | 21820 Bonita St, Carson, CA 90745-3404 | 2008-07-03 |
| 1023290640 | Grace Care Corporation | Community/Behavioral Health | 500 E Carson Plaza Dr Ste 101-109, Carson, CA 90746-3225 | 2007-12-05 |
| 1912036518 | Optimist Boys' Home and Ranch | Community/Behavioral Health | 20209 Tillman Ave, Carson, CA 90746-3066 | 2007-03-02 |
| 1467997403 | Koinonia Foster Homes Inc | Community/Behavioral Health | 550 E Carson Plaza Dr, Ste.200, Carson, CA 90746-3229 | 2016-12-29 |
| 1417083049 | Childrens Bureau of Southern California | Community/Behavioral Health | 460 E Carson Plaza Dr, Suite 102, Carson, CA 90746-3228 | 2007-02-26 |
| Find all providers in CARSON | ||||
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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.