Clean & Sober Detox a California Nonprofit Corporation
NPI 1255317145 · Substance Abuse Rehabilitation Facility · Fair Oaks, CA
Clean & Sober Detox a California Nonprofit Corporation is a Substance Abuse Rehabilitation Facility organization in Fair Oaks, CA (NPI 1255317145).
Provider details
- NPI number
- 1255317145
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Maryl Russo, Facilities Admin(916) 273-4537
- License
- 340067AN (CA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Doing business as
- Clean & Sober Detox
- Doing business as
- Clean & Sober Detox
Registry dates
- Enumerated
- 2005-12-21
- Last updated
- 2018-08-17
Frequently asked questions
- What is Clean & Sober Detox a California Nonprofit Corporation's NPI number?
- Clean & Sober Detox a California Nonprofit Corporation's National Provider Identifier (NPI) is 1255317145, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clean & Sober Detox a California Nonprofit Corporation?
- Clean & Sober Detox a California Nonprofit Corporation is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Clean & Sober Detox a California Nonprofit Corporation located?
- Clean & Sober Detox a California Nonprofit Corporation's practice location on file with NPPES is 8946 Madison Ave, Fair Oaks, CA 95628.
- What is Clean & Sober Detox a California Nonprofit Corporation's phone number?
- The practice phone number listed in the NPPES registry for Clean & Sober Detox a California Nonprofit Corporation is (916) 965-3386.
- Who is the authorized official for Clean & Sober Detox a California Nonprofit Corporation?
- The authorized official listed on Clean & Sober Detox a California Nonprofit Corporation's NPPES record is Maryl Russo, Facilities Admin. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clean & Sober Detox a California Nonprofit Corporation's NPI active?
- Yes — Clean & Sober Detox a California Nonprofit Corporation's NPI (1255317145) is active in the NPPES registry as of the last update on 2018-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.