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Clean & Sober Detox A California Nonprofit Corporation
Substance Abuse Rehabilitation Facility in Fair Oaks, California
NPI 1255317145

Clean & Sober Detox A California Nonprofit Corporation is a Substance Abuse Rehabilitation Facility based in Eatontown, CA. Clean & Sober Detox A California Nonprofit Corporation practices in Fair Oaks, CA. The NPI Number for Clean & Sober Detox A California Nonprofit Corporation is 1255317145 and holds a License No. 340067AN (California).

The current practice location address for Clean & Sober Detox A California Nonprofit Corporation is 8946 Madison Ave, Fair Oaks, CA and can be reached out via phone at 916-965-3386 and via fax at 916-536-1393.

Location: 8946 Madison Ave, Fair Oaks, CA, 07724-2283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255317145
Provider Name
Clean & Sober Detox A California Nonprofit Corporation
Credential
Provider Entity Type
Organization
Address
8946 Madison Ave, Fair Oaks, CA, 07724-2283
Phone Number
916-965-3386
Fax Number
916-536-1393
Provider Enumeration Date
12/21/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
8946 Madison Ave
City
Fair Oaks
State
California
Zip
95628
Phone Number
916-965-3386
Fax Number
916-536-1393
person
Provider Business Mailing Address Details
Address
8946 Madison Ave
City
Fair Oaks
State
California
Zip
95628
Phone Number
916-965-3386
Fax Number
916-536-1393
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
340067AN (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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