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Organization

DRUG ABUSE ALTERNATIVES CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN CHALLIS (CENTER POINT VICE PRESIDENT, DAAC M)
(707) 571-2233
Entity
Organization

Contact information

Practice address
2403 PROFESSIONAL DR, SUITE 102, SANTA ROSA, CA 95403-3007
(707) 571-2233
(707) 571-2238
Mailing address
2403 PROFESSIONAL DRIVE, SUITE 102, SANTA ROSA, CA 95403-3007
(707) 571-2233
(707) 571-2238

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
490009BN
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
490009RN
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
490009BN
DADP CERTIFICATION
CA
01
49490700
MEDICAL
CA
Enumeration date
01/02/2007
Last updated
01/25/2016
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