Provider Demographics
NPI:1457563074
Name:ADDICTION TREATMENT SERVICES INC
Entity type:Organization
Organization Name:ADDICTION TREATMENT SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KLOPF
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:530-749-8640
Mailing Address - Street 1:1100 HILLCREST AVE
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-5718
Mailing Address - Country:US
Mailing Address - Phone:530-673-3873
Mailing Address - Fax:530-749-8646
Practice Address - Street 1:1100 HILLCREST AVE
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5718
Practice Address - Country:US
Practice Address - Phone:530-673-3873
Practice Address - Fax:530-749-8646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51-032084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Single Specialty