Kimbo Drug & Alcohol Rehabilitation Services in Wilmington - Addiction (substance Use Disorder)
Kimbo Drug & Alcohol Rehabilitation Services - NPI 1760665582
Kimbo Drug & Alcohol Rehabilitation Services is a Addiction (substance Use Disorder) in Wilmington, California. Kimbo Drug & Alcohol Rehabilitation Services practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kimbo Drug & Alcohol Rehabilitation Services is 1760665582. The last update date is 2007-12-14.
Kimbo Drug & Alcohol Rehabilitation Services's current location address is 407 N Avalon Blvd, Wilmington, California. You can contact this provider via phone number 3105495532. The mailing address for Kimbo Drug & Alcohol Rehabilitation Services is 407 N Avalon Blvd, Wilmington, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kimbo Drug & Alcohol Rehabilitation Services |
|---|---|
| Address | 407 N Avalon Blvd, Wilmington, California |
| Phone Number | 3105495532 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM DI |
|---|---|
| Authorized Official Name | Oudney Jackson Kester |
| Credentials | LICENSE PS |
| Telephone Number | 3105495532 |
NPI Number Detail
| NPI Number | 1760665582 |
|---|---|
| Provider Enumeration Date | 2007-12-14 |
| Last Updated Date | 2007-12-14 |
Provider Mailing Address Detail
| Address | 407 N Avalon Blvd |
|---|---|
| City | Wilmington |
| State | California (CA) |
| Post Code | 907445803 |
| Phone Number | 3105495532 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the Kimbo Drug & Alcohol Rehabilitation Services's unique identification number?
The Kimbo Drug & Alcohol Rehabilitation Services has been assigned the NPI (National Provider Identifier) Number 1760665582 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kimbo Drug & Alcohol Rehabilitation Services located?
The Kimbo Drug & Alcohol Rehabilitation Services is located at 407 N Avalon Blvd, Wilmington, CA 907445803.
What is Kimbo Drug & Alcohol Rehabilitation Services's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kimbo Drug & Alcohol Rehabilitation Services is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760665582 to Kimbo Drug & Alcohol Rehabilitation Services?
The Kimbo Drug & Alcohol Rehabilitation Services received its 1760665582 assignment from the Centers for Medicare & Medicaid Services on 2007-12-14.
As of what date was the information pertaining to Kimbo Drug & Alcohol Rehabilitation Services, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kimbo Drug & Alcohol Rehabilitation Services, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-14.
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