Clean & Sober Detox

LBN: Clean & Sober Detox A California Nonprofit Corporation
Clean & Sober Detox is an health care organization with primary practice located at 8946 Madison Ave , Fair Oaks CA 95628. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Clean & Sober Detox A California Nonprofit Corporation can be contacted via phone (916) 965-3386, or through Russo, Maryl via phone (916) 273-4537.

Contact Information

Primary practice address
8946 Madison Ave Fair Oaks CA 95628
Phone: (916) 965-3386
Fax: (916) 536-1393
Website:
Map and Directions
Authorized official contact:
Name: Russo, Maryl
Phone: (916) 273-4537

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 340067AN California

Profile Details

NPI number 1255317145
LBN Legal business name Clean & Sober Detox A California Nonprofit Corporation
DBA Doing business as Clean & Sober Detox
Authorized official Russo, Maryl
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2005
Last updated Aug 17th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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