ALHAMBRA VALLEY RETREAT LLC (NPI# 1790252112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790252112 |
Entity Type | Organization |
Organization Name | ALHAMBRA VALLEY RETREAT LLC |
Practice Address |
77 Quail Ln Martinez CA 94553-9762 |
Mailing Address |
611 Gregory Ln Pleasant Hill CA 94523-2763 |
Practice Telephone | 9253726000 |
Practice Fax Number | 9253723624 |
Mailing Telephone | 9259339091 |
Enumeration Date | 2018-10-24 |
Last Update Date | 2018-10-24 |
Authorized Official Name | MR. ANTHONY LOFORTE SR. (FOUNDER/CEO) |
Authorized Official Telephone | 9252867342 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Alhambra Valley Retreat | Doing Business As Name - Organization |
Street Address |
77 QUAIL LN |
City | MARTINEZ |
State | CA |
Zip Code | 94553-9762 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
Find all providers in zip 94553 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700431665 | Michaela Lewis | Counselor | 909 Mellus St, Martinez, CA 94553-1744 | 2019-08-07 |
1871087981 | Westlond Recovery and Holistic Counseling Center | Counselor | 1226 Marks Church Road, Suite F, Martinez, GA 30909-1862 | 2018-06-21 |
1932406485 | Natalie Ann Pierre | Counselor | 2009 Radcliffe Ct, Martinez, CA 94553-5337 | 2011-02-18 |
1588989776 | David G. C. Turner | Counselor | 1611 Willow St, Martinez, CA 94553-1916 | 2010-03-31 |
1194860759 | Delton Wade De Vose | Counselor | 4210 Columbia Rd Ste 11b, Martinez, GA 30907-0443 | 2007-02-21 |
1790841682 | Mark Allen Messerer | Counselor | 1220 Morello Ave, Martinez, CA 94553-4707 | 2006-12-28 |
1437768132 | Quincy Eileen Slatten | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2020-07-28 |
1336766799 | Leslie James Thurston | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2020-07-01 |
1578198586 | Ayla Ohanlon | Counselor | 904 Mellus St, Martinez, CA 94553-1745 | 2020-03-10 |
1851946701 | Pauline Mary Mendez | Counselor | 904 Mellus St, Martinez, CA 94553-1745 | 2019-08-07 |
Find all providers in MARTINEZ |
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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.