DRUG ABUSE ALTERNATIVES CENTER (NPI# 1518024389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518024389 |
| Entity Type | Organization |
| Organization Name | DRUG ABUSE ALTERNATIVES CENTER |
| Practice Address |
2403 Professional Dr Suite 102 Santa Rosa CA 95403-3007 |
| Mailing Address |
2403 Professional Drive Suite 102 Santa Rosa CA 95403-3007 |
| Practice Telephone | 7075712233 |
| Practice Fax Number | 7075712238 |
| Mailing Telephone | 7075712233 |
| Mailing Fax Number | 7075712238 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2016-01-25 |
| Authorized Official Name | MR. JOHN CHALLIS (CENTER POINT VICE PRESIDENT, DAAC M) |
| Authorized Official Telephone | 7075712233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 490009BN | CA | Agencies |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 490009RN | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DADP CERTIFICATION | 490009BN | 01 |
| CA | MEDICAL | 49490700 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578807202 | Drug Abuse Alternatives Center | Clinic/Center | 983 Sonoma Avenue, Santa Rosa, CA 95404-4818 | 2012-11-19 |
| 1770897738 | Drug Abuse Alternatives Center | Substance Abuse Rehabilitation Facility | 1430 Neotomas Avenue, Santa Rosa, CA 95405-7575 | 2010-08-02 |
| 1417168949 | Drug Abuse Alternatives Center | Clinic/Center | 2400 County Center Dr, Suite B, Santa Rosa, CA 95403-3004 | 2007-05-25 |
| 1063064715 | Drug Abuse Alternatives Center | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-07-12 |
| 1043481344 | Drug Abuse Alternatives Center | Clinic/Center | 2400 County Center Dr, Suite B, Santa Rosa, CA 95403-3004 | 2008-03-14 |
| 1306047295 | Drug Abuse Alternatives Center | Clinic/Center | 2400 County Center Drive, Suite B, Santa Rosa, CA 95403-3007 | 2007-05-30 |
| 1629289152 | Drug Abuse Alternatives Center | Clinic/Center | 2403 Professional Dr, Suite 103, Santa Rosa, CA 95403-3007 | 2007-05-25 |
| 1063623593 | Drug Abuse Alternatives Center | Clinic/Center | 2403 Professional Dr, Suite 101, Santa Rosa, CA 95403-3007 | 2007-05-25 |
| 1104037472 | Drug Abuse Alternatives Center | Substance Abuse Rehabilitation Facility | 440 Arrowood Drive, Santa Rosa, CA 95407 | 2007-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DRUG ABUSE ALTERNATIVES CENTER | 2403 Professional Dr Ste 102, Santa Rosa, CA 95403-3016 |
| Street Address |
2403 PROFESSIONAL DR SUITE 102 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033744636 | Athena Kostick | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2020-03-04 |
| 1861024499 | Christopher James Mazzo | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2020-02-11 |
| 1578107421 | Sheila Diane Phariss | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-11-04 |
| 1093368979 | Stephanie Pande | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-07-19 |
| 1063064715 | Drug Abuse Alternatives Center | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-07-12 |
| 1528625738 | Shane Michael Short | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-05-22 |
| 1063974657 | Jennifer Kathleen Haglund - Hill | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-04-02 |
| 1407326408 | Maria D Cardenas | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2018-12-03 |
| 1578071239 | David Lee Morse | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2018-01-16 |
| 1275059560 | Tonia Marie Brinson | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2017-08-17 |
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| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| 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 |
|---|---|---|---|---|
| 1003383209 | The Camp Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 420 Mendocino Ave, Santa Rosa, CA 95401-6374 | 2018-10-26 |
| 1346618881 | California Human Development Corporation | Substance Abuse Rehabilitation Facility | 3555 Sonoma Hwy, Santa Rosa, CA 95409-4024 | 2015-09-14 |
| 1619229945 | Mary J Torrance | Substance Abuse Rehabilitation Facility | 725 Cherry St, Santa Rosa, CA 95404-4204 | 2012-10-10 |
| 1770897738 | Drug Abuse Alternatives Center | Substance Abuse Rehabilitation Facility | 1430 Neotomas Avenue, Santa Rosa, CA 95405-7575 | 2010-08-02 |
| 1356512032 | California Human Develpment Corporation | Substance Abuse Rehabilitation Facility | 3315 Airway Dr, Santa Rosa, CA 95403-2005 | 2008-03-20 |
| 1528277969 | R House, Inc. | Substance Abuse Rehabilitation Facility | 152 Middle Rincon Rd, Santa Rosa, CA 95409-3409 | 2007-05-22 |
| 1144343138 | Campobello Chemical Dependency Recovery Center | Substance Abuse Rehabilitation Facility | 3250 Guerneville Rd, Santa Rosa, CA 95401-4030 | 2007-04-06 |
| 1841344181 | Department of Health Services | Substance Abuse Rehabilitation Facility | 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 | 2007-01-23 |
| 1336690569 | Robin Rugne | Substance Abuse Rehabilitation Facility | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2016-10-24 |
| 1588112650 | Richard Slottow | Substance Abuse Rehabilitation Facility | 440 Arrowood Dr, Santa Rosa, CA 95407-7503 | 2016-09-16 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
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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.