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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Ujima West Outpatient Treatment Program | Doing Business As Name - Organization |
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 |
Street Address |
12960 SAN PABLO AVE |
City | RICHMOND |
State | CA |
Zip Code | 94805-1307 |
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 |
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 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 |
---|---|---|---|---|
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 |
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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.