Provider Demographics
NPI:1477924918
Name:CARNALES UNIDOS REFORMANDO ADICTOS
Entity Type:Organization
Organization Name:CARNALES UNIDOS REFORMANDO ADICTOS
Other - Org Name:C.U.R.A. INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:B
Authorized Official - Last Name:LOCARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:510-713-3204
Mailing Address - Street 1:4510 PERALTA BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-5755
Mailing Address - Country:US
Mailing Address - Phone:510-713-3204
Mailing Address - Fax:
Practice Address - Street 1:37437 GLENMOOR DR
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-5731
Practice Address - Country:US
Practice Address - Phone:510-713-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA010010AN324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility