Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clean & Sober Detox a California Nonprofit Corporation

Organization Substance Abuse Rehabilitation Facility · NPI 1255317145

Clean & Sober Detox a California Nonprofit Corporation is a Substance Abuse Rehabilitation Facility in Fair Oaks, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005

Practice location Address checks out

8946 Madison Ave
Fair Oaks, CA 95628
Phone: (916) 965-3386
Fax: (916) 536-1393
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 340067AN (CA)

Record details

NPI number1255317145
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maryl Russo — Facilities Admin · (916) 273-4537
Other names Clean & Sober Detox; Clean & Sober Detox
NPI enumeratedDecember 21, 2005
Last updated in NPPESAugust 17, 2018
Mailing address3 Corbett Way, Eatontown, NJ 07724-2283

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