Organization Name: | ADDICTION TREATMENT SERVICES INC |
NPI Number: | 1457563074 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERTA MARIE KLOPF (EXECUTIVE DIRECTOR) |
Mailing Address: | 1100 Hillcrest Ave Yuba City |
State: | CA US |
Postal Code: | 959915718 |
Phone Number: | 5306733873 |
Fax Number: | 5307498646 |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 51-03 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |