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Contact Information

ADDICTION THERAPEUTIC SERVICES
303 E MAIN ST
BARSTOW, CA92311-2325
 Phone: 760-957-7479
 Fax: 760-957-7416
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for ADDICTION THERAPEUTIC SERVICES

NPI # 1063045482
LBN Legal business name ADDICTION THERAPEUTIC SERVICES
Authorized official JOSEPHINE HERNDON - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/13/2020
Last updated 05/14/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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