Campobello Chemical Dependency Recovery Center in Santa Rosa - Substance Abuse Rehabilitation Facility

Campobello Chemical Dependency Recovery Center - NPI 1144343138

Campobello Chemical Dependency Recovery Center is a Substance Abuse Rehabilitation Facility in Santa Rosa, California. Campobello Chemical Dependency Recovery Center practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Campobello Chemical Dependency Recovery Center is 1144343138. The last update date is 2011-02-17.

Campobello Chemical Dependency Recovery Center's current location address is 3250 Guerneville Rd, Santa Rosa, California. You can contact this provider via phone number 7075794066 and fax number 7075791603. The mailing address for Campobello Chemical Dependency Recovery Center is 3250 Guerneville Rd, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Campobello Chemical Dependency Recovery Center
Address 3250 Guerneville Rd, Santa Rosa, California
Phone Number 7075794066
Fax Number 7075791603
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER CEO
Authorized Official Name Twitchell L William
Credentials CPA
Telephone Number 7072841235

NPI Number Detail

NPI Number 1144343138
Provider Enumeration Date 2007-04-06
Last Updated Date 2011-02-17

Provider Mailing Address Detail

Address 3250 Guerneville Rd
City Santa Rosa
State California (CA)
Post Code 954014030
Phone Number 7075794066
Fax Number 7075791603

Provider's Primary Taxonomy Detail

Speciality Substance Abuse Rehabilitation Facility
Taxonomy 324500000X
Licence No 490002AP
Definition:
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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FAQs about Campobello Chemical Dependency Recovery Center

What is the unique 10-digit identification code issued to Campobello Chemical Dependency Recovery Center by the Centers for Medicare & Medicaid Services?

The Campobello Chemical Dependency Recovery Center has been assigned the NPI (National Provider Identifier) 1144343138 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Campobello Chemical Dependency Recovery Center located?

The Campobello Chemical Dependency Recovery Center is located at 3250 Guerneville Rd, Santa Rosa, CA 954014030.

What is Campobello Chemical Dependency Recovery Center's specialized field of practice, and what is the corresponding taxonomy classification code?

The Campobello Chemical Dependency Recovery Center's area of specialization is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code that categorizes this field of practice is 324500000X.

When was the Campobello Chemical Dependency Recovery Center's 1144343138 issued?

The Campobello Chemical Dependency Recovery Center's 1144343138 was issued on 2007-04-06.

As of what date were the Campobello Chemical Dependency Recovery Center's details last updated?

The information pertaining to the Campobello Chemical Dependency Recovery Center, including its address, specialty, and other details, was most recently updated on 2011-02-17.

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