Organization
EMPIRE HOTEL ALCOHOLIC REHABILITATION CENTER, INC.
Active
Parent organization
EMPIRE HOTEL ALCOHOLIC REHABILITATION CENT
Other names
Empire Outpatient Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPIRE HOTEL ALCOHOLIC REHABILITATION CENT
Authorized official
MARJEANNE LOUISE STONE BA, CADCII, ICADC, M (EXECUTIVE DIRECTOR)
(530) 243-7470
Entity
Organization
Contact information
Practice address
1616 WEST ST, REDDING, CA 96001-1726
(530) 243-7470
(530) 243-7477
Mailing address
1237 CALIFORNIA ST., REDDING, CA 96001
(530) 243-7470
(530) 243-7477
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
450001CN
CA
Other
Enumeration date
07/16/2012
Last updated
07/21/2022
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