Provider Demographics
NPI:1164580585
Name:THE EFFORT, INC. DETOX
Entity Type:Organization
Organization Name:THE EFFORT, INC. DETOX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:CAULK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:916-325-5556
Mailing Address - Street 1:7586 STOCKTON BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-3923
Mailing Address - Country:US
Mailing Address - Phone:916-405-4612
Mailing Address - Fax:
Practice Address - Street 1:7586 STOCKTON BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-3923
Practice Address - Country:US
Practice Address - Phone:916-405-4612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25950817324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility