Provider Demographics
NPI:1184835332
Name:HUMANISTIC ALTERNATIVES TO ADDICTION, RESEARCH AND TREATMENT INC.
Entity Type:Organization
Organization Name:HUMANISTIC ALTERNATIVES TO ADDICTION, RESEARCH AND TREATMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:FRAZEE
Authorized Official - Last Name:SOBKY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:510-727-9755
Mailing Address - Street 1:20094 MISSION BLVD
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-1237
Mailing Address - Country:US
Mailing Address - Phone:510-727-9755
Mailing Address - Fax:510-727-9761
Practice Address - Street 1:20094 MISSION BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-1237
Practice Address - Country:US
Practice Address - Phone:510-727-9755
Practice Address - Fax:510-727-9761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-26
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA01-94261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA8104OtherMEDI - CAL