UJIMA FAMILY RECOVERY SERVICES


Address: 12960 San Pablo Ave, Richmond, CA 94805-1307
Phone: 5102152280

UJIMA FAMILY RECOVERY SERVICES (NPI# 1881002541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881002541
Entity Type Organization
Organization Name UJIMA FAMILY RECOVERY SERVICES
Other Organization Name UJIMA WEST OUTPATIENT TREATMENT PROGRAM
Practice Address 12960 San Pablo Ave
Richmond
CA 94805-1307
Mailing Address 1901 Church Ln
San Pablo
CA 94806-3707
Practice Telephone 5102152280
Practice Fax Number 5102152283
Mailing Telephone 5102363139
Mailing Fax Number 5102363200
Enumeration Date 2014-07-25
Last Update Date 2016-04-07
Authorized Official Name MRS. RITA SCHANK (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5102363139
Is Organization Subpart Y
Parent Organization Name UJIMA FAMILY RECOVERY SERVICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Ujima West Outpatient Treatment Program Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1891127247 Ujima Family Recovery Services Counselor 369 E Leland Rd, Pittsburg, CA 94565-4911 2013-08-07
1043429319 Ujima Family Recovery Services Substance Abuse Rehabilitation Facility 1515 24th St, San Pablo, CA 94806-4505 2007-05-22
1033326095 Ujima Family Recovery Services Clinic/Center 251 Georgia Street, Vallejo, CA 94590 2007-05-17
1457474959 Ujima Family Recovery Services Substance Abuse Rehabilitation Facility 919 Mellus St, Martinez, CA 94553-1744 2007-04-09
1902929409 Ujima Family Recovery Services Substance Abuse Rehabilitation Facility 1916 Church Ln, San Pablo, CA 94806-3708 2007-04-09
1245352962 Ujima Family Recovery Services Substance Abuse Rehabilitation Facility 1901 Church Ln, San Pablo, CA 94806-3707 2007-04-04
1205957057 Ujima Family Recovery Services Substance Abuse Rehabilitation Facility 904 Mellus St, Martinez, CA 94553-1745 2007-04-02
1366563900 Ujima Family Recovery Services Substance Abuse Rehabilitation Facility 127 Grenadine Way, Hercules, CA 94547-2041 2007-04-02
1346516739 Ujima Family Recovery Services Counselor 2975 Treat Blvd, Suite B-5, Concord, CA 94518-3601 2012-03-29
1881960284 Ujima Family Recovery Services Case Management 400 Ellinwood Way, Pleasant Hill, CA 94523-7785 2012-03-29

Office Location

Street Address 12960 SAN PABLO AVE
City RICHMOND
State CA
Zip Code 94805-1307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134240781 Ujma Family Recovery Services Community/Behavioral Health 12960 San Pablo Ave, Richmond, CA 94805-1307 2007-04-02
1639780620 Jaynelle Kopp Counselor 12960 San Pablo Ave, Richmond, CA 94805-1307 2020-08-12
1114489135 Donna Marie Youry Counselor 12960 San Pablo Ave, Richmond, CA 94805-1307 2019-04-01
1932669561 Michelle Patricia Lineaweaver Counselor 12960 San Pablo Ave, Richmond, CA 94805-1307 2019-03-20
1134635824 Shyra D'ann Jackson Counselor 12960 San Pablo Ave, Richmond, CA 94805-1307 2017-12-18
1700273950 Goretha Johnson Counselor 12960 San Pablo Ave, Richmond, CA 94805-1307 2015-04-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134622038 Edward Trujano Behavioral Analyst 616 40th St, Richmond, CA 94805 2018-03-16
1568900439 John Edward Tysell Jr. Internal Medicine 437 Carlston Street, Richmond, CA 94805 2017-02-10
1043661952 Alejandra Cardenas Counselor 4101 Macdonald Avenue, Richmond, CA 94805 2016-06-22
1568582229 Susan Denny Marriage & Family Therapist 207 37th Street, Richmond, CA 94805 2007-03-29
1548312689 Wendy E Maron Marriage & Family Therapist 630 Humboldt St, Richmond, CA 94805 2007-01-17
1518015866 Community Health for Asian Americans Community/Behavioral Health 207 37th St, Richmond, CA 94805 2007-01-05
1215496799 Makenna Newton Counselor 303 41st St, Richmond, CA 94805 2019-03-14
1508399189 Alejandra Olguin Social Worker 205 39th St, Richmond, CA 94805 2017-04-10
1760872451 Deyda Mendoza Counselor 205 39th St, Richmond, CA 94805 2015-02-02
1245664036 Leonard Deguzman Counselor 207 37th St, Richmond, CA 94805 2013-08-28
Find all providers in zip 94805

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245724566 Meridian Health Services Corp Substance Abuse Rehabilitation Facility 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 2018-06-20
1073058772 Meridian Health Services Corp Substance Abuse Rehabilitation Facility 498 Nw 18th St Bldg 416, Richmond, IN 47374 2017-01-04
1396194346 Daynetta Bernstine Substance Abuse Rehabilitation Facility 311 W Macdonald Ave, Richmond, CA 94801-2965 2016-06-10
1902122799 Halcyon Womens Center Substance Abuse Rehabilitation Facility 6712 Casey Savannah Ln, Richmond, VA 23234-8011 2010-04-19
1407072986 Neighborhood House of North Richmond Substance Abuse Rehabilitation Facility 820 23rd St, Richmond, CA 94804-1338 2007-04-17
1407934672 Rubicon, Inc Substance Abuse Rehabilitation Facility 2825 Rady St, Richmond, VA 23222-4097 2006-11-02
1396399101 Westcare California, Inc. Substance Abuse Rehabilitation Facility 208 23rd St, Richmond, CA 94804-1830 2019-07-30
1164967865 Meridian Health Services Corp Substance Abuse Rehabilitation Facility 498 Nw 18th St, Suite B, Richmond, IN 47374-2851 2017-01-04
1508300161 Meridian Health Services Corp Substance Abuse Rehabilitation Facility 498 Nw 18th St, Suite A, Richmond, IN 47374-2851 2016-12-15
1225419641 Kerry Vincent Substance Abuse Rehabilitation Facility 400 Stoddard Rd, Richmond, MI 48062-2505 2015-06-11
Find all providers in RICHMOND

Competitor

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City RICHMOND
Zip Code 94805

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Dataset Information

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.

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