DRUG ABUSE ALTERNATIVES CENTER (NPI# 1629289152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629289152 |
| Entity Type | Organization |
| Organization Name | DRUG ABUSE ALTERNATIVES CENTER |
| Other Organization Name | REDWOOD EMPIRE ADDICTION PROGRAM |
| Practice Address |
2403 Professional Dr Suite 103 Santa Rosa CA 95403-3007 |
| Mailing Address |
2403 Professional Dr Suite 102 Santa Rosa CA 95403-3007 |
| Practice Telephone | 7075262999 |
| Practice Fax Number | 7075260527 |
| Mailing Telephone | 7075712233 |
| Mailing Fax Number | 7075712238 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2015-12-07 |
| Authorized Official Name | MR. JOHN CHALLIS (CENTER POINT VICE PRESIDENT DAAC) |
| Authorized Official Telephone | 4155262943 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Redwood Empire Addiction Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578807202 | Drug Abuse Alternatives Center | Clinic/Center | 983 Sonoma Avenue, Santa Rosa, CA 95404-4818 | 2012-11-19 |
| 1770897738 | Drug Abuse Alternatives Center | Substance Abuse Rehabilitation Facility | 1430 Neotomas Avenue, Santa Rosa, CA 95405-7575 | 2010-08-02 |
| 1417168949 | Drug Abuse Alternatives Center | Clinic/Center | 2400 County Center Dr, Suite B, Santa Rosa, CA 95403-3004 | 2007-05-25 |
| 1518024389 | Drug Abuse Alternatives Center | Community/Behavioral Health | 2403 Professional Dr, Suite 102, Santa Rosa, CA 95403-3007 | 2007-01-02 |
| 1063064715 | Drug Abuse Alternatives Center | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-07-12 |
| 1043481344 | Drug Abuse Alternatives Center | Clinic/Center | 2400 County Center Dr, Suite B, Santa Rosa, CA 95403-3004 | 2008-03-14 |
| 1306047295 | Drug Abuse Alternatives Center | Clinic/Center | 2400 County Center Drive, Suite B, Santa Rosa, CA 95403-3007 | 2007-05-30 |
| 1063623593 | Drug Abuse Alternatives Center | Clinic/Center | 2403 Professional Dr, Suite 101, Santa Rosa, CA 95403-3007 | 2007-05-25 |
| 1104037472 | Drug Abuse Alternatives Center | Substance Abuse Rehabilitation Facility | 440 Arrowood Drive, Santa Rosa, CA 95407 | 2007-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DRUG ABUSE ALTERNATIVES CENTER | 2403 Professional Dr Ste 102, Santa Rosa, CA 95403-3016 |
| Street Address |
2403 PROFESSIONAL DR SUITE 103 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518024389 | Drug Abuse Alternatives Center | Community/Behavioral Health | 2403 Professional Dr, Suite 102, Santa Rosa, CA 95403-3007 | 2007-01-02 |
| 1033744636 | Athena Kostick | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2020-03-04 |
| 1861024499 | Christopher James Mazzo | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2020-02-11 |
| 1578107421 | Sheila Diane Phariss | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-11-04 |
| 1093368979 | Stephanie Pande | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-07-19 |
| 1063064715 | Drug Abuse Alternatives Center | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-07-12 |
| 1528625738 | Shane Michael Short | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-05-22 |
| 1063974657 | Jennifer Kathleen Haglund - Hill | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-04-02 |
| 1407326408 | Maria D Cardenas | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2018-12-03 |
| 1578071239 | David Lee Morse | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2018-01-16 |
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| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| 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] |
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|---|---|---|---|---|
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| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on DRUG ABUSE ALTERNATIVES CENTER.
| 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.