Organization
ALCOHOL DRUG CARE SERVICES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT JACK CUNNINGHAM CAS (EXECUTIVE DIRECTOR)
(707) 445-1391
Entity
Organization
Contact information
Practice address
528 5TH ST, EUREKA, CA 95501-1033
(707) 445-1391
(707) 445-2599
Mailing address
528 5TH ST, EUREKA, CA 95501-1033
(707) 445-1391
(707) 445-2599
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
120009AN
CA
324500000X
Substance Abuse Rehabilitation Facility
120009CN
CA
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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