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

County of Calaveras

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1053972885

County of Calaveras is a Substance Use Disorder Rehabilitation Clinic/Center in San Andreas, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

590 Toyanza Dr
San Andreas, CA 95249-9713
Phone: (209) 754-6525
Fax: (209) 754-6597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1053972885
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCalaveras County Substance Abuse Program
Authorized official Stacey Meily — Bhs Program Manager · (209) 754-6516
NPI enumeratedJune 24, 2019
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address891 Mountain Ranch Rd, San Andreas, CA 95249-9713

Other providers in San Andreas