CS II,LLC DBA CLEAN AND SOBER DETOX – NPI #1205344876
Substance Abuse Rehabilitation Facility

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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

CS II,LLC DBA CLEAN AND SOBER DETOX is a substance abuse rehabilitation facility located in SACRAMENTO, CA. NPPES has assigned the NPI number 1205344876 to CS II,LLC DBA CLEAN AND SOBER DETOX on January 17, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Oct 01, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CS II,LLC DBA CLEAN AND SOBER DETOX below.

NPI Profile for
CS II,LLC DBA CLEAN AND SOBER DETOX

NPI Number
1205344876
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CS II,LLC DBA CLEAN AND SOBER DETOX
Primary location
8946 MADISON AVE
SACRAMENTO, CA 95628-4010
Phone: (732) 210-0509 Fax: (732) 542-1948
Mailing address
P O BOX 412343
BOSTON, MA 02241-0001
Phone: (732) 210-0509 Fax: (732) 542-1948
Organization Subpart
No
Authorized Official
GILBERT YATES
CONTRACT MANAGER
Phone: (877) 262-7803
Updated
Certification Date
Oct 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.