Organization · Type 2 NPI

Ford Street Project

Substance Abuse Rehabilitation Facility · Ukiah, CA

NPI number 1073946547 Active

Practice location

201 Brush St
Ukiah, CA 95482-3424

Call (707) 462-1934 Map

Fax (707) 468-9860

Mailing address

139 Ford St
Ukiah, CA 95482-4011

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	230004AN (CA)

Substance Abuse Rehabilitation Facility: 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.

30 other providers at this address

NPI record

NPI: 1073946547
Entity type: Organization (Type 2)
Issued: Aug 19, 2013
Last updated: May 7, 2020
Status: Active

Other names

<unavail>
Ukiah Recovery Center · doing business as
Ukiah Recovery Center · doing business as

Authorized official

Ms. Jacqueline Williams
Executive Director
(707) 462-1934

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073946547

Ford Street Project's National Provider Identifier is 1073946547, issued on Aug 19, 2013. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Ukiah, CA. The record was last updated on May 7, 2020.