MEDICARE: HUMANISTIC ALTERNATIVES TO ADDICTION RESEARCH AND TREATMENT, 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	261QM2800X	Methadone Clinic	01-70	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720204696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMANISTIC ALTERNATIVES TO ADDICTION RESEARCH AND TREATMENT, INC.

Provider Business Mailing Address
First Line	:	10850 MACARTHUR BLVD STE 200
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94605-5266
Country	:	US
Telephone Number	:	510-875-2300
Fax Number	:	510-875-2310

Provider Business Practice Location Address
First Line	:	10850 MACARTHUR BLVD STE 200
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94605-5266
Country	:	US
Telephone Number	:	510-875-2300
Fax Number	:	510-875-2310

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MICHELLE BURCH
Credential	:
Telephone Number	:	510-875-2300

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	01/21/2021

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