Provider Demographics
NPI:1700211224
Name:ADDICTION & RECOVERY ADVISORS
Entity Type:Organization
Organization Name:ADDICTION & RECOVERY ADVISORS
Other - Org Name:ADDICTION AND RECOVERY RESOURCES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER-CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:CDC,AMF, RAS
Authorized Official - Phone:818-641-2175
Mailing Address - Street 1:25431 AVENIDA ESCALERA
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2801
Mailing Address - Country:US
Mailing Address - Phone:818-641-2175
Mailing Address - Fax:166-150-5706
Practice Address - Street 1:25431 AVENIDA ESCALERA
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2801
Practice Address - Country:US
Practice Address - Phone:818-641-2175
Practice Address - Fax:166-150-5706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No347C00000XTransportation ServicesPrivate Vehicle