Provider Demographics
NPI:1336248061
Name:COUNCIL FOR ALCOHOL AND DRUG ABUSE SERVICES, INC.
Entity Type:Organization
Organization Name:COUNCIL FOR ALCOHOL AND DRUG ABUSE SERVICES, INC.
Other - Org Name:CADAS, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF BUSINESS AND FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:423-756-7644
Mailing Address - Street 1:207 SPEARS AVE
Mailing Address - Street 2:P.O. BOX 4797
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-3840
Mailing Address - Country:US
Mailing Address - Phone:423-756-7644
Mailing Address - Fax:723-756-7646
Practice Address - Street 1:207 SPEARS AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405-3840
Practice Address - Country:US
Practice Address - Phone:423-756-7644
Practice Address - Fax:723-756-7646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000093324500000X
TN00000000953245S0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Not Answered3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children