CDT SERVICE CORPORATION (NPI# 1841843679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841843679 |
| Entity Type | Organization |
| Organization Name | CDT SERVICE CORPORATION |
| Practice Address |
6039 Roloff Way Orangevale CA 95662-4544 |
| Mailing Address |
11230 Gold Express Dr # 310-353 Gold River CA 95670-4484 |
| Practice Telephone | 9169891675 |
| Mailing Telephone | 9167841149 |
| Enumeration Date | 2019-07-21 |
| Last Update Date | 2019-07-21 |
| Authorized Official Name | ROSS STUART MORTON (COO) |
| Authorized Official Telephone | 9167841149 |
| Authorized Official Credential | JD |
| Is Organization Subpart | Y |
| Parent Organization Name | CDT SERVICE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| New Dawn Treatment Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992339451 | Cdt Service Corporation | Substance Abuse Rehabilitation Facility | 8078 Orange Ave, Fair Oaks, CA 95628-5941 | 2020-02-24 |
| 1265086201 | Cdt Service Corporation | Substance Abuse Rehabilitation Facility | 8782 Sherry Dr, Orangevale, CA 95662-4534 | 2019-07-29 |
| 1548813009 | Cdt Service Corporation | Substance Abuse Rehabilitation Facility | 8780 Sherry Dr, Orangevale, CA 95662-4534 | 2019-07-23 |
| 1972156834 | Cdt Service Corporation | Clinic/Center | 9960 Business Park Dr Ste 160, Sacramento, CA 95827-1733 | 2019-07-19 |
| Street Address |
6039 ROLOFF WAY |
| City | ORANGEVALE |
| State | CA |
| Zip Code | 95662-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174027338 | Susan Kaefer | Physical Therapist | 9525 Tremont Court, Orangevale, CA 95662 | 2018-03-22 |
| 1568918209 | William Parker Henderson | Specialist/Technologist | 9201 Madison Ave #235, Orangevale, CA 95662 | 2016-09-01 |
| 1558665745 | Gary C White Optometric Corporation | Optometrist | 8836 Greenback Lane Ste F, Orangevale, CA 95662 | 2011-01-02 |
| 1679634877 | Troy M Mauvais | Chiropractor | 8836 Greenback Ln, Ste B, Orangevale, CA 95662 | 2006-12-12 |
| 1821169830 | Peter W Worth | Dentist | 9197 Greenback Lane, Suite A, Orangevale, CA 95662 | 2006-11-13 |
| 1497763866 | Peter D Lopresti | Chiropractor | 9198 Greenback Lane, Suite 112, Orangevale, CA 95662 | 2006-08-03 |
| 1245454297 | Cheryl Ann Lee | Massage Therapist | 9198 Greenback Ln, #208, Orangevale, CA 95662 | 2007-04-12 |
| 1144735614 | Ondrea Lynn Cumbra | Behavior Technician | 8783 Steven Ave, Orangevale, CA 95662-2110 | 2017-12-06 |
| 1760963540 | Rajena Atwal | Pharmacist | 10040 Hadleigh Dr, Orangevale, CA 95662-2234 | 2018-08-28 |
| 1134580228 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 7441 Hickory Ave, Orangevale, CA 95662-2305 | 2016-03-16 |
| Find all providers in zip 95662 | ||||
| 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 |
|---|---|---|---|---|
| 1265086201 | Cdt Service Corporation | Substance Abuse Rehabilitation Facility | 8782 Sherry Dr, Orangevale, CA 95662-4534 | 2019-07-29 |
| 1548813009 | Cdt Service Corporation | Substance Abuse Rehabilitation Facility | 8780 Sherry Dr, Orangevale, CA 95662-4534 | 2019-07-23 |
| 1528227840 | Clean & Sober Recovery Services Inc. | Substance Abuse Rehabilitation Facility | 5820 Chestnut Ave, Orangevale, CA 95662-4807 | 2008-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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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 |
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| 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 | ||||
| City | ORANGEVALE |
| Zip Code | 95662 |
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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.