OrganizationActive
Addiction Therapeutic Services
NPI 1063045482 · Preferred Provider Organization · Barstow, CA
Provider details
- NPI number
- 1063045482
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Parent organization
- J. Herndons LLC
- Organization subpart
- Yes
- Authorized official
- Josephine Herndon, Ceo(760) 413-2055
Specialties & taxonomies
Managed Care Organizations
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
303 E Main St
Barstow, CA 92311-2325
Phone: (760) 957-7479
Fax: (760) 957-7416
Approximate (ZIP-level) locationGet directions
Mailing address
303 E Main St
Barstow, CA 92311-2325
Other names (DBA / former)
- Doing business as
- Addiction Therapeutic Services
Registry dates
- Enumerated
- 2020-02-13
- Last updated
- 2024-05-14
- Certified
- 2024-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.