Provider Demographics
NPI:1790252112
Name:ALHAMBRA VALLEY RETREAT LLC
Entity Type:Organization
Organization Name:ALHAMBRA VALLEY RETREAT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOFORTE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:925-286-7342
Mailing Address - Street 1:611 GREGORY LN
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2763
Mailing Address - Country:US
Mailing Address - Phone:925-933-9091
Mailing Address - Fax:
Practice Address - Street 1:77 QUAIL LN
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-9762
Practice Address - Country:US
Practice Address - Phone:925-372-6000
Practice Address - Fax:925-372-3624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty