Organization · Type 2 NPI

County of Calaveras

Substance Use Disorder Rehabilitation Clinic/Center · San Andreas, CA

NPI number 1053972885 Active

Practice location

590 Toyanza Drive
San Andreas, CA 95249-9713

Call (209) 754-6525 Map

Fax (209) 754-6597

Mailing address

891 Mountain Ranch Rd
San Andreas, CA 95249-9713

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1053972885

County of Calaveras's National Provider Identifier is 1053972885, issued on Jun 24, 2019. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in San Andreas, CA. The record was last updated on Sep 16, 2025.