Provider Demographics
NPI:1376960781
Name:ADDICTION COUNSELING & TREATMENT SERVICES
Entity Type:Organization
Organization Name:ADDICTION COUNSELING & TREATMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RHETTE
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:PIAZZA
Authorized Official - Suffix:
Authorized Official - Credentials:CAS III
Authorized Official - Phone:951-210-0489
Mailing Address - Street 1:4129 MAIN ST
Mailing Address - Street 2:B8
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501
Mailing Address - Country:US
Mailing Address - Phone:951-251-4802
Mailing Address - Fax:
Practice Address - Street 1:4129 MAIN ST
Practice Address - Street 2:B8
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-3662
Practice Address - Country:US
Practice Address - Phone:951-251-4802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-24
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health