California Diversion Intervention Foundation in Orange - Addiction (substance Use Disorder)
California Diversion Intervention Foundation - NPI 1154410652
California Diversion Intervention Foundation is a Addiction (substance Use Disorder) in Orange, California. California Diversion Intervention Foundation practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for California Diversion Intervention Foundation is 1154410652. The last update date is 2009-07-15.
California Diversion Intervention Foundation's current location address is 1095 N Main St, Orange, California. You can contact this provider via phone number 7146330502 and fax number 7146339249. The mailing address for California Diversion Intervention Foundation is 1095 N Main St, Orange, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | California Diversion Intervention Foundation |
|---|---|
| Address | 1095 N Main St, Orange, California |
| Phone Number | 7146330502 |
| Fax Number | 7146339249 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM DI |
|---|---|
| Authorized Official Name | Miyaji K. Harry |
| Telephone Number | 7146330502 |
NPI Number Detail
| NPI Number | 1154410652 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2009-07-15 |
Provider Mailing Address Detail
| Address | 1095 N Main St |
|---|---|
| City | Orange |
| State | California (CA) |
| Post Code | 928675476 |
| Phone Number | 7146330502 |
| Fax Number | 7146339249 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 300125BN |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300125BN | CA | OUTPATIENT CERTIFICATION |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to California Diversion Intervention Foundation by the Centers for Medicare & Medicaid Services?
The California Diversion Intervention Foundation has been issued the NPI (National Provider Identifier) 1154410652, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where California Diversion Intervention Foundation is geographically located?
The California Diversion Intervention Foundation is physically situated at the following location: 1095 N Main St, Orange, CA, 928675476.
What is California Diversion Intervention Foundation's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for California Diversion Intervention Foundation is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
On what date did the California Diversion Intervention Foundation receive its 1154410652 assignment from the Centers for Medicare & Medicaid Services?
The California Diversion Intervention Foundation was assigned its 1154410652 by the Centers for Medicare & Medicaid Services on 2006-10-12.
When was the information regarding California Diversion Intervention Foundation, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to California Diversion Intervention Foundation, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-07-15.
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