Provider Demographics
NPI:1972247690
Name:CENTER FOR HIGHER PURPOSE
Entity type:Organization
Organization Name:CENTER FOR HIGHER PURPOSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:BREILING
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, CATC-V
Authorized Official - Phone:707-365-8008
Mailing Address - Street 1:730 HOWE AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-4641
Mailing Address - Country:US
Mailing Address - Phone:707-365-8008
Mailing Address - Fax:
Practice Address - Street 1:730 HOWE AVE STE 600
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-4641
Practice Address - Country:US
Practice Address - Phone:707-365-8008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-27
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder