EL CENTRO ADULT SUBSTANCE USE DISORDER TREATMENT PROGRAM (NPI# 1972791408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972791408 |
| Entity Type | Organization |
| Organization Name | EL CENTRO ADULT SUBSTANCE USE DISORDER TREATMENT PROGRAM |
| Other Organization Name | ADULT ODF RECOVERY CENTER |
| Practice Address |
2695 S 4th St El Centro CA 92243-6012 |
| Mailing Address |
202 N 8th St El Centro CA 92243-2302 |
| Practice Telephone | 4422651525 |
| Mailing Telephone | 4422651525 |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | ANDREA KUHLEN (DIRECTOR) |
| Authorized Official Telephone | 4422651525 |
| Is Organization Subpart | Y |
| Parent Organization Name | IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Adult ODF Recovery Center | Other Name - Individual/Organization |
| El Centro Adult Substance Use Disorder Treatment Program | Other Name - Individual/Organization |
| Street Address |
2695 S 4TH ST |
| City | EL CENTRO |
| State | CA |
| Zip Code | 92243-6012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508903675 | Robert R. Aguilar | Rehabilitation Counselor | 2695 S 4th St, El Centro, CA 92243-6012 | 2007-01-30 |
| 1942567300 | Andrew Munguia | Rehabilitation Counselor | 2695 S 4th St, El Centro, CA 92243-6012 | 2012-04-23 |
| 1578834602 | Ivonne Lopez | Rehabilitation Counselor | 2695 S 4th St, El Centro, CA 92243-6012 | 2012-01-20 |
| 1124306907 | Amanda Solano Armstrong | Counselor | 2695 S 4th St, El Centro, CA 92243-6012 | 2011-07-28 |
| 1871887273 | Erik Suarez | Rehabilitation Counselor | 2695 S 4th St, El Centro, CA 92243-6012 | 2011-06-02 |
| 1093016446 | Beatriz Stephanie Gonzalez | Social Worker | 2695 S 4th St, El Centro, CA 92243-6012 | 2010-11-16 |
| 1497084909 | Esperanza Andalon | Licensed Vocational Nurse | 2695 S 4th St, El Centro, CA 92243-6012 | 2009-12-11 |
| 1124283957 | Mary Helen Esquer Madrigal | Counselor | 2695 S 4th St, El Centro, CA 92243-6012 | 2008-07-21 |
| 1760661730 | Iris Brenda Camargo | Rehabilitation Counselor | 2695 S 4th St, El Centro, CA 92243-6012 | 2007-10-26 |
| 1629273602 | Jose Lepe | Counselor | 2695 S 4th St, El Centro, CA 92243-6012 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1346856671 | Ana Lilia Solorio | Health Educator | 1415 Ross Ave., El Centro, CA 92243 | 2020-09-22 |
| 1467073775 | Mabel Janet Castro-ley | Counselor | 22 N 8th St., El Centro, CA 92243 | 2020-04-28 |
| 1831723030 | Guadalupe Heredia | Registered Nurse | 1415 Ross Ave El Centro Ca, El Centro, El Centro, CA 92243 | 2020-02-26 |
| 1851948061 | Hamlet Khachatryan Dds, Inc. | Dentist | 1698 Cruickshank Drive, Suite B, El Centro, CA 92243 | 2019-08-22 |
| 1104478924 | Courtney Barker | Occupational Therapist | 1161 Main St., El Centro, CA 92243 | 2019-07-11 |
| 1891350997 | Amy Nguyen Dao | Nurse Practitioner | 852 Danenberg Drive, El Centro, CA 92243 | 2019-05-03 |
| 1538723622 | Patrick H Dao | Nurse Practitioner | 852 Danenberg Dr., El Centro, CA 92243 | 2019-04-24 |
| 1114494861 | Alba Care Mental Health Serrvices | Counselor | 1498 Main Street, El Centro, CA 92243 | 2018-10-31 |
| 1922503085 | Joanne P. Goode | Nurse Practitioner | El Centro Health Clinic, 651 Wake Avenue, El Centro, CA 92243 | 2018-03-29 |
| Find all providers in zip 92243 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174711691 | Imperial County Behavioral Health Services | Clinic/Center | 1302 S 3rd St, El Centro, CA 92243-6604 | 2007-10-10 |
| 1528256047 | Imperial County Behavioral Health Services | Clinic/Center | 2001 Ocotillo Dr, El Centro, CA 92243-9451 | 2007-10-10 |
| 1790973220 | Imperial County Behavioral Health Services | Clinic/Center | 900 N 6th St Rm 5, El Centro, CA 92243-1803 | 2007-10-10 |
| 1700074234 | Imperial County Behavioral Health Services | Clinic/Center | 600 S Wilson St Rm 29a, El Centro, CA 92243-3124 | 2007-10-10 |
| 1407066194 | Imperial County Behavioral Health Services | Clinic/Center | 1331 S. Clark Road, Bldg. 3, El Centro, CA 92243-9516 | 2007-05-23 |
| 1144666520 | Imperial County Behavioral Health Services | Clinic/Center | 2695 S 4th St Fl 2, El Centro, CA 92243-6012 | 2013-05-13 |
| 1518155043 | Imperial County Behavioral Health Services | Clinic/Center | 1001 W Brighton Ave, El Centro, CA 92243-3110 | 2007-10-10 |
| 1295945756 | Imperial County Behavioral Health Services | Clinic/Center | 1295 W State St, Ste. 202, 203, 204, 205, El Centro, CA 92243-2845 | 2007-05-23 |
| 1366652836 | Imperial County Behavioral Health Services | Clinic/Center | 1295 W State St, 101-106, El Centro, CA 92243-2845 | 2007-05-23 |
| 1336356674 | Desert Behavioral Specialties, LLC | Clinic/Center | 1073 Ross Ave, Suite C, El Centro, CA 92243-4371 | 2007-05-17 |
| Find all providers in EL CENTRO | ||||
Please comment or provide details below to improve the information on EL CENTRO ADULT SUBSTANCE USE DISORDER TREATMENT PROGRAM.
| 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.