Provider Demographics
NPI:1689844334
Name:ALCOHOL AND SUBSTANCE ABUSE PROGRAMS, INC.
Entity Type:Organization
Organization Name:ALCOHOL AND SUBSTANCE ABUSE PROGRAMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-421-7890
Mailing Address - Street 1:501 CONCHA ST
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-1414
Mailing Address - Country:US
Mailing Address - Phone:818-421-7890
Mailing Address - Fax:818-954-2265
Practice Address - Street 1:1092 NEW YORK DR
Practice Address - Street 2:
Practice Address - City:ALTADENA
Practice Address - State:CA
Practice Address - Zip Code:91001-3118
Practice Address - Country:US
Practice Address - Phone:818-421-7890
Practice Address - Fax:818-954-2265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190569AP324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility