Provider Demographics
NPI:1205974466
Name:CHEMICAL ADDICTIONS PROGRAM, INC.
Entity type:Organization
Organization Name:CHEMICAL ADDICTIONS PROGRAM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:COSPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-323-3206
Mailing Address - Street 1:1153 AIR BASE BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36108-3103
Mailing Address - Country:US
Mailing Address - Phone:334-269-2150
Mailing Address - Fax:334-265-0475
Practice Address - Street 1:1153 AIR BASE BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36108-3103
Practice Address - Country:US
Practice Address - Phone:334-269-2150
Practice Address - Fax:334-265-0475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Not Answered324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility