National Provider Identifier Database

ADDICTION THERAPEUTIC SERVICES
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

ADDICTION THERAPEUTIC SERVICES
303 E MAIN ST
BARSTOW, CA92311-2325
Phone: 760-957-7479
Fax: 760-957-7416
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X
Mental Health (Including Community Mental Health Center) 261QM0801X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for ADDICTION THERAPEUTIC SERVICES

NPI Number 1063045482
Legal business name
LBN
ADDICTION THERAPEUTIC SERVICES
Authorized official JOSEPHINE HERNDON - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 02/13/2020
Last updated 05/14/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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