Organization
CS II,LLC DBA CLEAN AND SOBER DETOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT YATES (CONTRACT MANAGER)
(877) 262-7803
Entity
Organization
Contact information
Practice address
8946 MADISON AVE, SACRAMENTO, CA 95628-4010
(732) 210-0509
(732) 542-1948
Mailing address
P O BOX 412343, BOSTON, MA 02241-0001
(732) 210-0509
(732) 542-1948
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
10/01/2024
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