Organization · Type 2 NPI

Empire Hotel Alcoholic Rehabilitation Center, Inc.

Substance Use Disorder Rehabilitation Clinic/Center · Redding, CA

NPI number 1104171289 Active

Practice location

1616 West St
Redding, CA 96001-1726

Call (530) 243-7470 Map

Fax (530) 243-7477

Mailing address

1237 California St.
Redding, CA 96001

Specialties and licenses

Taxonomy	Code	License
Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	None listed
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	450001CN (CA)

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

6 other providers at this address

Amie BabbAddiction (Substance Use Disorder) Psychologist Redding, CA NPI 1124800644
Bryant Jake Williams IvAddiction (Substance Use Disorder) Counselor Redding, CA NPI 1063031722
Jessica QuickAddiction (Substance Use Disorder) Counselor Redding, CA NPI 1992502066
Marisa R. AntonicicAddiction (Substance Use Disorder) Counselor Redding, CA NPI 1841817251
Mishell S. KnoessAddiction (Substance Use Disorder) Counselor Redding, CA NPI 1598374696
Richard P. Burger Jr.Addiction (Substance Use Disorder) Psychologist Redding, CA NPI 1275378499

Other substance use disorder rehabilitation clinic/center providers in Redding

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NPI record

NPI: 1104171289
Entity type: Organization (Type 2)
Issued: Jul 16, 2012
Last updated: Jul 21, 2022
Status: Active
Subpart: Yes of Empire Hotel Alcoholic Rehabilitation Cent

Other names

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Empire Outpatient Services · doing business as

Authorized official

Marjeanne Louise Stone, BA, CADCII, ICADC, M
Executive Director
(530) 243-7470

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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 1104171289

Empire Hotel Alcoholic Rehabilitation Center, Inc.'s National Provider Identifier is 1104171289, issued on Jul 16, 2012. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Redding, CA. The record was last updated on Jul 21, 2022.