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ANTIOCH SUBSTANCE ABUSE PROGRAMS
NPI 1649507484
Clinic/Center - Rehabilitation, Substance Use Disorder in Fresno, CA

Active since November 16, 2009
3838 N WEST AVE, FRESNO, CA 93705(559) 307-3482(559) 294-0303 Get Directions Write a Review

NPPES record last updated: November 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Antioch Substance Abuse Programs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTIOCH SUBSTANCE ABUSE PROGRAMS (NPI 1649507484) is a healthcare organization registered as a rehabilitation, substance use disorder in Fresno, California and active in the NPI registry since November 2009. The organization lists Jerome Ester Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1649507484
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameANTIOCH SUBSTANCE ABUSE PROGRAMS
Location Address3838 N WEST AVEFresno, CA 93705-2703
Mailing Address3838 N West AveFresno, CA 93705-2703 · (559) 307-3482 · Fax (559) 294-0303
Phone(559) 307-3482
Fax(559) 294-0303
Organization SubpartNo
Authorized OfficialJerome Ester JacksonPresident · (559) 307-3482
Enumeration DateNovember 16, 2009
✔ NPI 1649507484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
3838 N WEST AVE, Fresno, CA 93705
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALSTELMA TOLIVER JACKSON
Counselor (Addiction (Substance Use Disorder))
3838 N WEST AVE
FRESNO, CA 93705
Fresno County (559) 217-1157
JEROME ESTER JACKSON PHD
Counselor (Pastoral)
3838 N WEST AVE
FRESNO, CA 93705
Fresno County (559) 307-3482

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antioch Substance Abuse Programs's NPI number?

The NPI number for Antioch Substance Abuse Programs is 1649507484. It was assigned to this organization in the NPPES registry on November 16, 2009.

Where is Antioch Substance Abuse Programs located?

Antioch Substance Abuse Programs is located at 3838 N West Ave, Fresno, CA 93705. The listed phone number is (559) 307-3482.

What is Antioch Substance Abuse Programs's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Antioch Substance Abuse Programs was last updated on November 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.