Provider Demographics
NPI:1720204696
Name:HUMANISTIC ALTERNATIVES TO ADDICTION RESEARCH AND TREATMENT, INC.
Entity Type:Organization
Organization Name:HUMANISTIC ALTERNATIVES TO ADDICTION RESEARCH AND TREATMENT, INC.
Other - Org Name:H.A.A.R.T.
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-875-2300
Mailing Address - Street 1:10850 MACARTHUR BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-5266
Mailing Address - Country:US
Mailing Address - Phone:510-875-2300
Mailing Address - Fax:510-875-2310
Practice Address - Street 1:10850 MACARTHUR BLVD STE 200
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-5266
Practice Address - Country:US
Practice Address - Phone:510-875-2300
Practice Address - Fax:510-875-2310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA01-70261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0167Medicaid