=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114808045
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMERICA INTERLOCK TECHNOLOGIES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/09/2025
-----------------------------------------------------
Last Update Date | 09/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 194 WILLIAMS RD
-----------------------------------------------------
City | DOWNSVILLE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71234-3514
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 855-755-5200
-----------------------------------------------------
Fax | 855-755-5200
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 310 HABITAT BAY
-----------------------------------------------------
City | WINDSOR
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80550-6130
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 855-755-5200
-----------------------------------------------------
Fax | 855-755-5200
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DAVID C JONES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 855-755-5200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR0800X
-----------------------------------------------------
Taxonomy Name | Recovery Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------