Provider Demographics
NPI:1558636472
Name:ASIAN AMERICAN RECOVERY SERVICES
Entity Type:Organization
Organization Name:ASIAN AMERICAN RECOVERY SERVICES
Other - Org Name:OFFENDER TREATMENT PROGRAM CASE MANAGEMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:NORELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-503-4734
Mailing Address - Street 1:1380 HOWARD ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2638
Mailing Address - Country:US
Mailing Address - Phone:415-503-4730
Mailing Address - Fax:415-233-3629
Practice Address - Street 1:1380 HOWARD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2638
Practice Address - Country:US
Practice Address - Phone:415-503-4730
Practice Address - Fax:415-255-3629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management