Organization
CALAVERAS COUNTY SUBSTANCE ABUSE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY MARIE MEILY (ADMINISTRATORS ASSISTANT)
(209) 754-6555
Entity
Organization
Contact information
Practice address
590 TOYANZA DRIVE, SAN ANDREAS, CA 95249-9713
(209) 754-6555
Mailing address
891 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249-9713
(209) 754-6555
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
09/16/2025
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