Provider Demographics
NPI:1780404921
Name:DIABLO VALLEY DRUG AND ALCOHOL SERVICES INC.
Entity type:Organization
Organization Name:DIABLO VALLEY DRUG AND ALCOHOL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SMEESTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-640-5441
Mailing Address - Street 1:111 DEERWOOD RD STE 235
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-4409
Mailing Address - Country:US
Mailing Address - Phone:925-640-5441
Mailing Address - Fax:
Practice Address - Street 1:2059 MAGNOLIA WAY
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94595-1629
Practice Address - Country:US
Practice Address - Phone:925-640-5441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIABLO VALLEY DRUG AND ALCOHOL SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility