ADDICTION INTERVENTION RESOURCES – NPI #1114129814
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

ADDICTION INTERVENTION RESOURCES is a substance abuse rehabilitation facility located in FRESNO, CA. NPPES has assigned the NPI number 1114129814 to ADDICTION INTERVENTION RESOURCES on June 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 ADDICTION INTERVENTION RESOURCES below.

NPI Profile for
ADDICTION INTERVENTION RESOURCES

NPI Number
1114129814
Enumeration Date

(more than 19 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
ADDICTION INTERVENTION RESOURCES
Primary location
405 N BROADWAY ST
FRESNO, CA 93701-1513
Phone: (559) 486-3146 Fax: (559) 486-3146
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LINDA GIBSON
ADMINISTRATOR
Phone: (559) 486-3146
Updated
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
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)
CA 1006

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.