Organization · Type 2 NPI

El Centro Adult Substance Use Disorder Treatment Program

Substance Use Disorder Rehabilitation Clinic/Center · El Centro, CA

NPI number 1972791408 Active

Practice location

2695 S 4th St
El Centro, CA 92243-6012

Call (442) 265-1525 Map

Mailing address

202 N 8th St
El Centro, CA 92243-2302

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

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

23 other providers at this address

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NPI record

NPI: 1972791408
Entity type: Organization (Type 2)
Issued: Oct 10, 2007
Last updated: Oct 4, 2019
Status: Active
Subpart: Yes of Imperial County Behavioral Health Services

Other names

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Adult Odf Recovery Center · other name

Authorized official

Andrea Kuhlen
Director
(442) 265-1525

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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 1972791408

El Centro Adult Substance Use Disorder Treatment Program's National Provider Identifier is 1972791408, issued on Oct 10, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in El Centro, CA. The record was last updated on Oct 4, 2019.