Organization · Type 2 NPI
Glom Substance Abuse Program
Substance Abuse Rehabilitation Facility · Galt, CA
NPI number
1245805308
Active
Practice location
10898 Boessow Rd
Galt, CA 95632-8451
Mailing address
3123 Independence Dr
Livermore, CA 94551-7595
Other practice locations
- 13386 Marengo Rd, Galt, CA 95632-8429 · (925) 570-3282
- 1111 W Tokay St Ste A, Lodi, CA 95240-3965 · (925) 570-3282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
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.
9 other providers at this address
- Alaina Acelyn Trishell CarmonaAddiction (Substance Use Disorder) Counselor Galt, CA NPI 1992630313
- David Michael StanderAddiction (Substance Use Disorder) Counselor Galt, CA NPI 1912895822
- Eric Kendal Hasting, RADTAddiction (Substance Use Disorder) Counselor Galt, CA NPI 1851199723
- John SolorzanoAddiction (Substance Use Disorder) Counselor Galt, CA NPI 1790641033
- Jose Belizario Olivas Jr.Addiction (Substance Use Disorder) Counselor Galt, CA NPI 1124907332
- Krystle Marie Boyd, SUDRC1 #24098Addiction (Substance Use Disorder) Counselor Galt, CA NPI 1407775380
- Michael Gomez, RNAddiction (Substance Use Disorder) Registered Nurse Galt, CA NPI 1548114986
- Peggy PhelpsAddiction (Substance Use Disorder) Counselor Galt, CA NPI 1730302795
- Stacey ThomasAddiction (Substance Use Disorder) Counselor Galt, CA NPI 1386410264
Other substance abuse rehabilitation facility providers in Galt
About NPI 1245805308
Glom Substance Abuse Program's National Provider Identifier is 1245805308, issued on May 21, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Galt, CA. The record was last updated on Mar 14, 2024.