Organization
COMMUNITY SOCIAL MODEL ADVOCATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI NEWMAN (EXECUTIVE DIRECTOR)
(209) 357-5261
Entity
Organization
Contact information
Practice address
508 MENDOCINO CT, ATWATER, CA 95301-4230
(209) 357-5261
(209) 357-5263
Mailing address
508 MENDOCINO CT, ATWATER, CA 95301-4230
(209) 357-5261
(209) 357-5263
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
240001EN
CA
Other
Enumeration date
05/29/2007
Last updated
03/31/2023
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