Healthcare Provider Details
I. General information
NPI: 1114206331
Provider Name (Legal Business Name): CHAMPIONS RECOVERY ALTERNATIVE PROGRAMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/04/2011
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
311 N DOUTY ST
HANFORD CA
93230-3951
US
IV. Provider business mailing address
311 N DOUTY ST
HANFORD CA
93230-3951
US
V. Phone/Fax
- Phone: 559-772-8144
- Fax: 559-583-9307
- Phone: 559-583-9300
- Fax: 559-583-9307
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251X00000X |
| Taxonomy | Supports Brokerage Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANCISCO
TOMAS
RUIZ
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 559-794-2701