MEDICARE: CHEMICAL ADDICTIONS PROGRAM, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1205974466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHEMICAL ADDICTIONS PROGRAM, INC.

Provider Business Mailing Address
First Line	:	1153 AIR BASE BLVD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36108-3103
Country	:	US
Telephone Number	:	334-269-2150
Fax Number	:	334-265-0475

Provider Business Practice Location Address
First Line	:	1153 AIR BASE BLVD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36108-3103
Country	:	US
Telephone Number	:	334-269-2150
Fax Number	:	334-265-0475

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. JOHN E COSPER
Credential	:
Telephone Number	:	334-323-3206

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	09/11/2025

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