COMPREHENSIVE ADDICTION PROGRAM NPI 1225581382

Substance Abuse Rehabilitation Facility in Selma, CA

NPI 1225581382 Organization Substance Abuse Rehabilitation Facility

About COMPREHENSIVE ADDICTION PROGRAM

Comprehensive Addiction Program is a provider established in Selma, California specializing in substance abuse rehabilitation facility. The NPI number of Comprehensive Addiction Program is 1225581382 and was assigned on July 2016. The practitioner's primary taxonomy code is 324500000X with license number 101YA04000X (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Roland David King (Counselor 1)

NPI

1225581382

Provider NameCOMPREHENSIVE ADDICTION PROGRAM
Provider Location Address9080 E DINUBA AVE SELMA, CA 93662
Provider Mailing Address9080 E DINUBA AVE SELMA, CA 93662
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-25-2016
Last Update Date07-25-2016


Primary Taxonomy

Taxonomy Code324500000X
ClassificationSubstance Abuse Rehabilitation Facility
TypeResidential Treatment Facilities
License No.101YA04000X
License StateCA
Taxonomy DescriptionA 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.

Business Address

COMPREHENSIVE ADDICTION PROGRAM
9080 E DINUBA AVE
SELMA, CA
ZIP 93662
Phone: (559) 477-3399

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Mailing Address

COMPREHENSIVE ADDICTION PROGRAM
9080 E DINUBA AVE
SELMA, CA
ZIP 93662
Phone: (559) 477-3399



Authorized Official

Authorized Official Name ROLAND DAVID KING
Authorized Official TitleCOUNSELOR 1
Authorized Official Phone(559) 264-5096

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.