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Clean & Sober Detox A California Nonprofit Corporation

Substance Abuse Rehabilitation Facility in Fair Oaks, CA · enumerated 2005 · authorized official Maryl Russo, Facilities Admin.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255317145

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Registry record

Entity type Organization (Type 2)
Legal business name Clean & Sober Detox A California Nonprofit Corporation
Other name <Unavail>
Practice address 8946 Madison Ave, Fair Oaks, CA, 95628
Phone (916) 965-3386
Fax (916) 536-1393
Enumeration date Dec 21, 2005
Last updated in NPPES Aug 17, 2018

Taxonomy & classification

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities · License 340067AN (CA) Primary

Authorized official

Name Maryl Russo
Title Facilities Admin
Phone (916) 273-4537

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Clean & Sober Detox A California Nonprofit Corporation?
Clean & Sober Detox A California Nonprofit Corporation is registered in NPPES as a Substance Abuse Rehabilitation Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-08-17.