OrganizationActive
County of Calaveras
NPI 1053972885 · Substance Use Disorder Rehabilitation Clinic/Center · San Andreas, CA
Provider details
- NPI number
- 1053972885
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Calaveras County Substance Abuse Program
- Organization subpart
- Yes
- Authorized official
- Stacey Meily, Bhs Program Manager(209) 754-6516
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
590 Toyanza Drive
San Andreas, CA 95249-9713
Phone: (209) 754-6525
Fax: (209) 754-6597
Street-level locationGet directions
Mailing address
891 Mountain Ranch Rd
San Andreas, CA 95249-9713
Registry dates
- Enumerated
- 2019-06-24
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.