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ALCOHOL AND DRUG PROGRAM-CCC PROGRAM
NPI 1720505779
Community/Behavioral Health in Shingle Springs, CA

Active since August 29, 2017
3974 DUROCK RD STE 205, SHINGLE SPRINGS, CA 95682(530) 621-6659 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2018, Sep 11, 2018, Aug 29, 2017 (3 updates tracked since 2017).

About Alcohol And Drug Program-ccc Program NPPES

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

ALCOHOL AND DRUG PROGRAM-CCC PROGRAM (NPI 1720505779) is a healthcare organization registered as a community/behavioral health in Shingle Springs, California and active in the NPI registry since August 2017. The organization lists Salina Marie Drennan, Suds Program Administrator, as its authorized official.

NPPES Registry Identity

NPI1720505779
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOUNTY OF EL DORADO
Location Address3974 DUROCK RD STE 205Shingle Springs, CA 95682-8568
Mailing Address768 Pleasant Valley Rd Ste 201Diamond Springs, CA 95619-9260 · (530) 621-6146 · Fax (530) 295-2596
Phone(530) 621-6659
Organization SubpartNo
Authorized OfficialSalina Marie DrennanSuds Program Administrator · (530) 621-6207
Enumeration DateAugust 29, 2017
Last NPPES UpdateSeptember 25, 20183 updates tracked since enumeration
✔ NPI 1720505779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
3974 DUROCK RD STE 205, Shingle Springs, CA 95682
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Other Names 1

Other NameAlcohol And Drug Program-ccc Program

Other Providers at the Same Location NPPES

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

KIMBERLEE ILISE MATTINGLEY BA, SUDCC
Counselor (Addiction (Substance Use Disorder))
3974 DUROCK RD STE 205
SHINGLE SPRINGS, CA 95682
El Dorado County (530) 621-4687

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 County Of El Dorado's NPI number?

The NPI number for County Of El Dorado is 1720505779. It was assigned to this organization in the NPPES registry on August 29, 2017. The provider is also known as Alcohol And Drug Program-Ccc Program.

Where is County Of El Dorado located?

County Of El Dorado is located at 3974 Durock Rd Ste 205, Shingle Springs, CA 95682. The listed phone number is (530) 621-6659.

What is County Of El Dorado's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for County Of El Dorado was last updated on September 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.