Provider Demographics
NPI:1497575989
Name:DRUGLESS SOCIETY INC.
Entity type:Organization
Organization Name:DRUGLESS SOCIETY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:209-513-2910
Mailing Address - Street 1:1215 N EDISON ST
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95203-1801
Mailing Address - Country:US
Mailing Address - Phone:209-687-0725
Mailing Address - Fax:
Practice Address - Street 1:1215 N EDISON ST
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95203-1801
Practice Address - Country:US
Practice Address - Phone:209-687-0725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DRUGLESS SOCIETY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility