Provider Demographics
NPI:1932479268
Name:NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE, INC.
Entity Type:Organization
Organization Name:NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE, INC.
Other - Org Name:NCADD-SACRAMENTO
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:SAYRE
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-922-5123
Mailing Address - Street 1:2143 HURLEY WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-3253
Mailing Address - Country:US
Mailing Address - Phone:916-922-5123
Mailing Address - Fax:916-921-1787
Practice Address - Street 1:2143 HURLEY WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-3253
Practice Address - Country:US
Practice Address - Phone:916-922-5123
Practice Address - Fax:916-921-1787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACO712346251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable