Narcotic Treatment Program Directory€¦ · State of California Narcotic Treatment Program Directory . 01/03/2019 . Butte . Licensee: Aegis Treatment Centers, LLC . DBA: N/A Address:

State of California Narcotic Treatment Program Directory

01/03/2019

Alameda

Licensee:California Forensic Medical Group, Inc. DBA: N/A Address: 5325 Broder Blvd. City: Dublin Zip: 94568 Phone: (925) 551-6700Fax: (925)551-7693 Operating Hours: 7:00 am - 4:00 am Dispensing Hours: 1:00am - 7:30 am Weekend Operating Hours: 1:00 am - 7:30 am Weekend Dispensing Hours:1:00 am - 7:30 am Executive Director: Raymond Karl Herr M.D. Medical Director: Maria Magat, M.D. Program Director: Holvis Delgadillo

License # 01-100 OTP CA10, 249M

CADDS # xxxxxxxx D/MC # xxxx

Original License Date: 07/31/2017 Entity: Corporation

Tax Status: Profit 20Total Slots:

LAAM: No 2+2: N

30 Day TH's: No

Licensee:The West Oakland Health Council DBA: N/A Address: 700 Adeline Street, Suites 270 & 290 City: Oakland Zip: 94607 Phone: (510) 302-3741Fax: (510) 380-6943 Operating Hours: 7:30 a.m. - 4:30 p.m.Dispensing Hours: 7:45 a.m. - 11:45 a.m. Weekend Operating Hours: 7:30 a.m. - 11:30 a.m. Weekend Dispensing Hours:7:45 a.m. - 9:45 a.m. Executive Director: *Benjamin F. Pettus, Jr. Medical Director: Adrian James, M.D. Program Director: Sharon Nelson

License # 01-60OTP CA10, 111M

CADDS # D010170D/MC # 0171

Original License Date: 05/24/1985Entity: Corporation

Tax Status: Nonprofit

Total Slots: 110LAAM: No

2+2: Yes 30 Day TH's: No

Licensee:Humanistic Alternatives to Addiction Research and Treatment, Inc. DBA: N/A Address: 10850 MacArthur Boulevard, Suite 200 City: Oakland Zip: 94605 Phone: (510) 875-2300Fax: (510) 875-2310 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6 a.m. - 12 p.m. (lunch 8-9 a.m.) Weekend Operating Hours: 7:30 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:30 a.m. - 10:00 a.m. Executive Director: *Michelle Burch Medical Director: Martin Mennen, M.D. Program Director: Eric Miller

License # 01-70OTP CA10, 038M

CADDS # D010167D/MC # 0167

Original License Date: 01/01/1983Entity: Corporation


Total Slots: 500LAAM: No

2+2: Yes 30 Day TH's: Yes

Page 1


01/03/2019

Alameda

Licensee:Berkeley Addiction Treatment Services DBA: N/A Address: 2975 Sacramento Street City: Berkeley Zip: 94702 Phone: (510) 644-0200 Fax: (510) 644-2044 Operating Hours: 5:30 a.m. - 12:45 p.m.Dispensing Hours: 5:30 a.m. - 10:30 a.m. Weekend Operating Hours: 5:30 a.m. - 9:00 a.m. Weekend Dispensing Hours:5:30 a.m. - 9:00 a.m. Executive Director: *Matonia Williams Medical Director: Frank Staggers, Jr., M.D. Program Director: Matonia Williams


CADDS # D010181 D/MC # 0181



Total Slots: 255 LAAM: No

2+2: No 30 Day TH's: No

Licensee:Humanistic Alternatives to Addiction Research and Treatment, Inc. DBA: N/A Address: 20094 Mission Boulevard City: Hayward Zip: 94541 Phone: (510) 727-9755 Fax: (510) 727-9761 Operating Hours: 5:30 a.m. - 2:00 p.m.Dispensing Hours: 6 a.m.- 9 a.m., 10 a.m. - 12 p.m. Weekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:30 a.m. - 9:30 a.m. Executive Director: *Christopher Sobky, MFT Medical Director: Mike Martinez, M.D. Program Director: Christopher Sobky, MFT


CADDS # D018104 D/MC # 8104




2+2: No 30 Day TH's: Yes

Licensee:Addiction Research and Treatment, Inc. DBA: N/A Address: 1124 International Boulevard City: Oakland Zip: 94606 Phone: (510) 533-0800 Fax: (510) 533-0300 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: MTWF: 6 am - 1 pm; Th 6 am -Weekend Operating Hours: 6:45 a.m. - 10:45 a.m. Weekend Dispensing Hours:Sat, Sun, Holidays 7am - 10:30aExecutive Director: Nadine Robbins-Laurent Medical Director: Christopher Alexander, M.D. Program Director: Veronica King


CADDS # 010198 D/MC # 01AG



LAAM: No 2+2: Yes

30 Day TH's: Yes

Page 2


01/03/2019

Alameda

Licensee:BAART Behavioral Health Services, Inc. DBA: N/A Address: 1124 International Boulevard City: Oakland Zip: 94606 Phone: (510) 533-0800 Fax: (510) 533-0300 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: MTWF: 6am - 1pm; Th 6am - 12 Weekend Operating Hours: 6:45 a.m. - 10:45 a.m. Weekend Dispensing Hours:7 a.m. - 10:30 a.m. Executive Director: Nadine Robbins-Laurent Medical Director: Christopher Alexander, M.D. Program Director: Veronica King


CADDS # 018116 D/MC # 8116



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Successful Alternatives For Addiction & Counseling Services, Inc. DBA: MedMark Treatment Centers - Hayward Address: 795 Fletcher Lane City: Hayward Zip: 94544 Phone: (510) 247-8300 Fax: (510) 247-8295 Operating Hours: 5 a.m. - 1:30 p.m.Dispensing Hours: 5 a.m. - 1 p.m. Weekend Operating Hours: 8 a.m. - 10:30 a.m. Weekend Dispensing Hours:8 a.m. - 10:30 a.m. Executive Director: *David K. White, Ph.D. Medical Director: Gilbert Greene, D.O. Program Director: Ginned Williams


CADDS # 018108 D/MC # 8108



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Lifeline Treatment Services, Inc. DBA: N/A Address: 10429 International Boulevard City: Oakland Zip: 94603 Phone: (510) 777-8448 Fax: (510) 777-8453 Operating Hours: 6:00 a.m. - 2:30 p.m.Dispensing Hours: 6:00 a.m. - 1:30 p.m. Weekend Operating Hours: 8:00 a.m. - 11:15 a.m. Weekend Dispensing Hours:8:00 a.m. - 11:15 a.m. Executive Director: *Seanjay R. Sharma Medical Director: Catherine Sanders, M.D. Program Director: Michael Peart


CADDS # 010196 D/MC # 01AI



LAAM: No 2+2: Yes

30 Day TH's: Yes

Page 3


01/03/2019

Butte

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 582, 584, 586, 588 & 590 Rio Lindo Avenue City: Chico Zip: 95926 Phone: (530) 345-3491 Fax: (530) 345-0261 Operating Hours: 5:00 a.m. - 3:30 p.m.Dispensing Hours: 5:00 a.m. - 3:00 p.m. Weekend Operating Hours: 6 a.m. - 2:30 p.m. (6-10am HolidWeekend Dispensing Hours:6 a.m. - 1:30 p.m. (6-10am Holid Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Michelle Saldana


CADDS # 040499 D/MC # 0498

Original License Date: 01/11/2014 Entity: LLC


LAAM: No 2+2: Yes

30 Day TH's: No

Licensee:Aegis Treatment Centers, LLC - Medication Unit DBA: N/A Address: 1147 Hartnell Avenue City: Redding Zip: 96002 Phone: (530) 222-7213 Fax: (530) 222-7268 Operating Hours: 5:00 a.m. - 9:00 a.m. Dispensing Hours: 5:00 a.m. - 9:00 a.m. Weekend Operating Hours: 5:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:5:00 a.m. - 9:00 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Michelle Saldana

License # 04-02MU1 OTP CA10, 297M

CADDS # 040499 D/MC # 45HU



LAAM: No 2+2: Yes

30 Day TH's: No

Page 4


01/03/2019

Contra Costa

Licensee:Addiction Research and Treatment, Inc. DBA: Bay Area Addiction Research and Treatment Address: 3707 and 3711 Sunset Lane, Suites A & B City: Antioch Zip: 94509 Phone: (925) 522-0124 Fax: (925) 522-0133 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6 a.m.-1p.m.; T 6 a.m.-12 p.m. Weekend Operating Hours: 7:00 a.m. - 11:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:30 a.m. Executive Director: Nadine Robbins-Laurent Medical Director: William Quismoro, M.D. Program Director: Stephen Sooter


CADDS # D070709 D/MC # 07AD


Tax Status: Profit

Total Slots: *** LAAM: No


Licensee:BAART Behavioral Health Services, Inc. DBA: N/A Address: 3707 Sunset Lane City: Antioch Zip: 94509 Phone: (925) 522-0124 Fax: (925) 522-0133 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6 a.m.-1 p.m.; T 6 a.m.-12 p.m. Weekend Operating Hours: 7:00 a.m. - 11:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:30 a.m. Executive Director: Nadine Robbins-Laurent Medical Director: William Quismoro, M.D. Program Director: Stephen Sooter

License # 07-07D OTP CA10, 245M

CADDS # 070739 D/MC # 0739



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Addiction Research and Treatment, Inc. DBA: Bay Area Addiction Research and Treatment Address: 1313 Cutting Boulevard City: Richmond Zip: 94804 Phone: (510) 232-0874 Fax: (510) 232-8652 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6 a.m.-10 a.m.;11 a.m.-1 p.m. Weekend Operating Hours: 6:45 a.m. - 10:45 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:00 a.m. Executive Director: Nadine Robbins-Laurent Medical Director: Kyle Moore, M.D. Program Director: Ulrika Williams


CADDS # D070708 D/MC # 07AC



LAAM: No 2+2: Yes

30 Day TH's: Yes

Page 5


01/03/2019

Contra Costa

Licensee:BAART Behavioral Health Services, Inc. DBA: N/A Address: 1313 Cutting Boulevard City: Richmond Zip: 94804 Phone: (510) 232-0874 Fax: (510) 232-8652 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6 a.m.-10 a.m.;11 a.m -1 p.m.Weekend Operating Hours: 6:45 a.m. - 10:45 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:00 a.m. Executive Director: Nadine Robbins-Laurent Medical Director: Kyle Moore, M.D. Program Director: Ulrika Williams


CADDS # 070751 D/MC # 0000


Tax Status: Profit


2+2: No 30 Day TH's: Yes

Page 6


01/03/2019

Fresno

Licensee:Addiction Research and Treatment, Inc. DBA: Bay Area Addiction Research and Treatment Address: 539 North Van Ness Avenue City: Fresno Zip: 93728 Phone: (559) 266-9581 Fax: (559) 498-0507 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6:00 a.m. - 1:30 p.m. Weekend Operating Hours: 6:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:6-10 a.m.; Holiday 6-9 a.m. Executive Director: Nicole Benoit Medical Director: Farhad Mahjouri, M.D. Program Director: M Kivaughn Shelton


CADDS # D101052 D/MC # 10AF



LAAM: Yes 2+2: Yes

30 Day TH's: Yes

Licensee:BAART Behavioral Health Services, Inc. DBA: N/A Address: 539 North Van Ness Avenue City: Fresno Zip: 93728 Phone: (559) 266-9581 Fax: (559) 498-0507 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6:00 a.m. - 1:30 p.m. Weekend Operating Hours: 6:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:6:00am - 1:30pmExecutive Director: Nicole Benoit Medical Director: Farhad Mahjouri, M.D. Program Director: M Kivaughn Shelton


CADDS # D101090 D/MC # 0000



LAAM: No 2+2: No

30 Day TH's: Yes

Licensee:Addiction Research and Treatment, Inc. DBA: Bay Area Addiction Research and Treatment Address: 1235 E Street City: Fresno Zip: 93706 Phone: (559) 268-6261 Fax: (559) 268-7518 Operating Hours: 5:30 a.m. - 1:30 p.m.Dispensing Hours: 5:30-11am; Th 5:30-11am 12pm Weekend Operating Hours: 6:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: Nicole Benoit Medical Director: Laurene Spencer, M.D. Program Director: Sue Ewert


CADDS # D101028 D/MC # 10AD



LAAM: No 2+2: Yes

30 Day TH's: Yes

Page 7


01/03/2019

Fresno

Licensee:BAART Behavioral Health Services, Inc. DBA: N/A Address: 1235 E Street City: Fresno Zip: 93706 Phone: (559) 268-6261 Fax: (559) 268-7518 Operating Hours: 5:30 a.m. - 1:30 p.m.Dispensing Hours: 5:30-11 am; Th 5:30-11am 12pm Weekend Operating Hours: 6:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:6:00 am - 9:00 am Executive Director: Nicole Benoit Medical Director: Laurene Spencer, M.D. Program Director: Sue Ewert


CADDS # 101088 D/MC # 1088



LAAM: No 2+2: No

30 Day TH's: Yes

Licensee:Addiction Research and Treatment, Inc. DBA: Bay Area Addiction Research and Treatment Address: 3103 East Cartwright Avenue City: Fresno Zip: 93725 Phone: (559) 498-7100 Fax: (559) 498-7111 Operating Hours: 5:00 a.m. - 1:00 p.m.Dispensing Hours: 5-9:30am; Th 10:30am-12:30pm Weekend Operating Hours: 6:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: Nicole Benoit Medical Director: Laurene Spencer, M.D. Program Director: Sue Ewert


CADDS # 101027 D/MC # 10AE



LAAM: Yes 2+2: Yes

30 Day TH's: Yes

Licensee:BAART Behavioral Health Services, Inc. DBA: N/A Address: 3103 East Cartwright Avenue City: Fresno Zip: 93725 Phone: (559) 498-7100 Fax: (559) 498-7111 Operating Hours: 5:00 a.m. - 1:00 p.m.Dispensing Hours: 5-9:30am; Th 10:30am-12:30pm Weekend Operating Hours: 6:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: Nicole Benoit Medical Director: Laurene Spencer, M.D. Program Director: Sue Ewert


CADDS # 101089 D/MC # 1089



LAAM: No 2+2: No

30 Day TH's: Yes

Page 8


01/03/2019

Fresno

Licensee:MedMark Treatment Centers - Fresno West, Inc. DBA: N/A Address: 1310 M Street City: Fresno Zip: 93721 Phone: (559) 264-2700 Fax: (559) 264-2767 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5:00 a.m. - 1:00 p.m. Weekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:00 a.m. Executive Director: *David K. White, Ph.D. Medical Director: Gilbert Greene, D.O. Program Director: Bee Vue


CADDS # 101097 D/MC # 1097



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 3707 E. Shields Avenue City: Fresno Zip: 93726 Phone: (559) 229-9040 Fax: (559) 229-9060 Operating Hours: 5:00 a.m. - 6:30 p.m.Dispensing Hours: 5-9a.m.; 10a.m.-1p.m.; 2-5:30p.m Weekend Operating Hours: 6:00 a.m. - 2:30 p.m.Weekend Dispensing Hours:6am-10am, 11am - 1:30pmExecutive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Tiffany Martinez


CADDS # 101003 D/MC # 1033



LAAM: No 2+2: Yes

30 Day TH's: No

Page 9


01/03/2019

Imperial

Licensee:Imperial Valley Medical Clinic, Inc. DBA: N/A Address: 535 West Cesar Chavez Boulevard City: Calexico Zip: 92231 Phone: (760) 357-6566 Fax: (760) 357-0849 Operating Hours: 6:00 a.m. - 3:00 p.m.Dispensing Hours: 6:00 a.m. - 11:00 a.m. Weekend Operating Hours: Closed Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: *Norma M. Apodaca, MSW Medical Director: Bernardo Ng, M.D. Program Director: Norma M. Apodaca, MSW


CADDS # 131308 D/MC # 1308





Licensee:Imperial Valley Medical Clinic, Inc. DBA: Medical Treatment Center Address: 200 South 5th Street City: El Centro Zip: 92243 Phone: (760) 482-0864 Fax: (760) 482-9185 Operating Hours: 6:00 a.m. - 3:00 p.m.Dispensing Hours: 6:00 a.m. - 11:00 a.m. Weekend Operating Hours: Closed Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: *Norma M. Apodaca, MSW Medical Director: Bernardo Ng, M.D. Program Director: Norma Apodaca


CADDS # 131304 D/MC # 1304





Page 10


01/03/2019

Kern

Licensee:American Health Services, LLC DBA: Bakersfield Health Services Address: 1010 1/2 South Union Avenue City: Bakersfield Zip: 93307 Phone: (661) 321-0234 Fax: (661) 321-9856 Operating Hours: 5:30 a.m. - 2:30 p.m.Dispensing Hours: 5:45 a.m. - 1:00 p.m. Weekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:00 a.m. Executive Director: *Seanjay R. Sharma Medical Director: Michael Yadegari, M.D. Program Director: Andy Castaneda


CADDS # C151571 D/MC # 1571



LAAM: Yes 2+2: Yes

30 Day TH's: Yes

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 1018 21st Street City: Bakersfield Zip: 93301 Phone: (661) 861-9967 Fax: (661) 861-0339 Operating Hours: 5:00 a.m. - 6:30 p.m.Dispensing Hours: 5:00 a.m. - 5:30 p.m. Weekend Operating Hours: 6:00 a.m. - 2:30 p.m. 10-11am clWeekend Dispensing Hours:6a.m. - 10a.m.; 11a.m. - 1:30p.mExecutive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Laura Tiefenthaler


CADDS # 151506 D/MC # 1509



LAAM: No 2+2: Yes

30 Day TH's: No

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 1019 Jefferson Street City: Delano Zip: 93215 Phone: (661) 721-0463 Fax: (661) 721-0482 Operating Hours: 5:30 a.m. - 2:00 p.m.Dispensing Hours: 5:30-9:30 a.m.; 10:30a.m.-1 p.m Weekend Operating Hours: 8:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:8:00 a.m. - 10:00 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: LaToya Mitchell


CADDS # 151525 D/MC # 1520



LAAM: No 2+2: Yes

30 Day TH's: No

Page 11


01/03/2019

Kern

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 501 W. Columbus Street City: Bakersfield Zip: 93301 Phone: (661) 328-0245 Fax: (661) 631-0876 Operating Hours: 5 a.m. - 6:30 p.m.Dispensing Hours: 5-9am, 10am-1pm, 2-530 pmWeekend Operating Hours: 6 a.m. - 2:30 p.m.Weekend Dispensing Hours:6:00 a.m. - 1:30 p.m.Executive Director: *Alexander Dodd Medical Director: George Girgis, M.D. Program Director: Chrystal McIntire


CADDS # 151542 D/MC # 1542


Tax Status: Profit



Page 12


01/03/2019

Los Angeles

Licensee:Western Pacific Med-Corp. DBA: N/A Address: 4544 San Fernando Road, Suite 201 City: Glendale Zip: 91204 Phone: (818) 240-8843 Fax: (818) 240-8885 Operating Hours: 5:45 a.m. - 2:30 p.m.Dispensing Hours: 5:45 a.m. - 1:00 p.m. Weekend Operating Hours: 5:45 a.m. - 9:45 a.m. Weekend Dispensing Hours:5:45 a.m. - 9:30 a.m. Executive Director: *Mark R. Hickman Medical Director: David Sami, M.D. Program Director: Shirley Poordawood


CADDS # 191949 D/MC # 1949



LAAM: Yes 2+2: Yes

30 Day TH's: Yes

Licensee:Narcotics Prevention Association, Inc. DBA: N/A Address: 942 South Atlantic Boulevard, Suite 100 City: Los Angeles Zip: 90022 Phone: (323) 263-9700 Fax: (323) 263-8042 Operating Hours: 5:00 a.m. - 2:00 p.m.Dispensing Hours: 5:00 a.m. - 12:45 p.m. Weekend Operating Hours: 6:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: *Luis Montes Medical Director: David De La Loza, M.D. Program Director: Luis Montes


CADDS # D196902 D/MC # 6902





Licensee:Western Health Community Clinics DBA: N/A Address: 1647 West Anaheim Street City: Harbor City Zip: 90710 Phone: (310) 534-5590 Fax: (310) 534-5591 Operating Hours: 5:30 a.m. - 11:00 a.m. Dispensing Hours: 5:30 a.m. - 11:00 a.m. Weekend Operating Hours: 7:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 9:00 a.m. Executive Director: *Mintra Sharma Wilson Medical Director: Dennis Sanchez, M.D. Program Director: Sivan Sharma Wilson


CADDS # D191947 D/MC # 0000



LAAM: No 2+2: No

30 Day TH's: No

Page 13


01/03/2019

Los Angeles

Licensee:West County Medical Clinic DBA: N/A Address: 100 East Market Street City: Long Beach Zip: 90805 Phone: (562) 428-4222 Fax: (562) 428-0372 Operating Hours: 5 a.m.-1:30 pm. (lunch 10-11a.mDispensing Hours: 5 a.m.-12:30 p.m. (lunch 10-11a. Weekend Operating Hours: 8:00 a.m. - 11:00 a.m. Weekend Dispensing Hours:8:00 a.m. - 11:00 a.m. Executive Director: *Seanjay R. Sharma Medical Director: Michael Yadegari, M.D. Program Director: Mona Grimmitt


CADDS # D191946 D/MC # 1946

Original License Date: 03/23/1987 Entity: Partnership


LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Transcultural Health Development, Inc. DBA: Coastal Recovery Center Address: 117 East Harry Bridges Boulevard City: Wilmington Zip: 90744 Phone: (310) 549-8383 Fax: (310) 549-9304 Operating Hours: 5a.m-1:30p.m. (closed 9:30-10amDispensing Hours: MTWF 5am-12pm; Th 5 a.m.-11 Weekend Operating Hours: 6:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: Dino Quarante Medical Director: Steven Ruh, M.D. Program Director: Andrea Adams


CADDS # D197002 D/MC # 7002



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Eldorado Community Service Center, LLC DBA: Inglewood Medical and Mental Health Services Address: 4450 West Century Boulevard City: Inglewood Zip: 90304 Phone: (310) 671-0555 Fax: (310) 674-5292 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6 a.m.-11a.m.;12:00 p.m.-1:30 p. Weekend Operating Hours: 8:30 - 9:30a.m. Sat, 8:30 -9:30 S Weekend Dispensing Hours:8:30 -3:30p.m. Sat, 8:30-9:30amExecutive Director: *Seanjay R. Sharma Medical Director: Michael Yadegari, M.D. Program Director: Brenda Jordan


CADDS # D191958 D/MC # 1958





Page 14


01/03/2019

Los Angeles

Licensee:Addiction Research and Treatment, Inc. DBA: Bay Area Addiction Research and Treatment Address: 4920 South Avalon Boulevard City: Los Angeles Zip: 90011 Phone: (323) 235-5035 Fax: (323) 235-2023 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6 a.m. - 10 a.m.; 11 a.m.- 1 p.m. Weekend Operating Hours: 7:30 a.m. - 10:30 a.m. Weekend Dispensing Hours:7:30 a.m. - 10:30 a.m. Executive Director: Nicole Benoit Medical Director: David Koroshec, M.D. Program Director: Mahshid M. Reaves


CADDS # 196997 D/MC # 69AL



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:BAART Behavioral Health Services, Inc. DBA: N/A Address: 4920 South Avalon Boulevard City: Los Angeles Zip: 90011 Phone: (323) 235-5035 Fax: (323) 235-2023 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6 a.m. - 10 a.m.;11 a.m. - 1 p.m. Weekend Operating Hours: 7:30 a.m. - 10:30 a.m. Weekend Dispensing Hours:7:30 a.m. - 10:30 a.m. Executive Director: Nicole Benoit Medical Director: David Koroshec, M.D. Program Director: Mahshid M. Reaves


CADDS # 197311 D/MC # 0000



LAAM: No 2+2: No

30 Day TH's: Yes

Licensee:Western Pacific Med-Corp. DBA: N/A Address: 7232 Canby Avenue, Suite 4, 5, & 6 City: Reseda Zip: 91335 Phone: (818) 705-5561 Fax: (818) 705-8248 Operating Hours: 5:45 a.m. - 2:30 p.m.Dispensing Hours: 5:45 a.m. - 1:00 p.m. Weekend Operating Hours: 5:45 a.m. - 9:45 a.m. Weekend Dispensing Hours:5:45 a.m. - 9:30 a.m. Executive Director: *Mark R. Hickman Medical Director: Daryoosh Sami, M.D. Program Director: Erica Tapia


CADDS # D191948 D/MC # 1948



LAAM: Yes 2+2: Yes

30 Day TH's: Yes

Page 15


01/03/2019

Los Angeles

Licensee:Western Pacific Med-Corp. DBA: N/A Address: 9462 Van Nuys Boulevard City: Panorama City Zip: 91402 Phone: (818) 891-8555 Fax: (818) 891-8649 Operating Hours: 5:45 a.m. - 2:30 p.m.Dispensing Hours: 5:45 a.m. - 12:30 p.m. Weekend Operating Hours: 5:45 a.m. - 9:45 a.m. Weekend Dispensing Hours:5:45 a.m. - 9:30 a.m. Executive Director: *Mark R. Hickman Medical Director: Daryoosh Sami, M.D. Program Director: Angeline Veverka, LVN


CADDS # D197000 D/MC # 7000



LAAM: Yes 2+2: Yes

30 Day TH's: Yes

Licensee:Tavarua Health Services DBA: N/A Address: 8207 Whittier Boulevard City: Pico Rivera Zip: 90660 Phone: (562) 695-0737 Fax: (562) 695-0413 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5:00 a.m. - 12:00 p.m. Weekend Operating Hours: 7:00 a.m. - 9:00 p.m.Weekend Dispensing Hours:7:00 a.m. - 9:00 a.m. Executive Director: *Seanjay R. Sharma Medical Director: Michael Yadegari, M.D. Program Director: Margarita Valadez


CADDS # D196984 D/MC # 6984



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Addiction Research and Treatment, Inc. DBA: Bay Area Addiction Research and Treatment Address: 15229 East Amar Road City: La Puente Zip: 91744 Phone: (626) 855-5090 Fax: (626) 961-1810 Operating Hours: 5:30 a.m.-10 a.m.;11 a.m.-1:30 pDispensing Hours: 5:30-10 a.m.;11 a.m.-12:30 p.m. Weekend Operating Hours: 6:00 a.m. - 9:30 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:30 a.m. Executive Director: Nicole Benoit Medical Director: Craig Bailey, M.D. Program Director: Rose Perry


CADDS # D196912 D/MC # 69AJ



LAAM: No 2+2: Yes

30 Day TH's: Yes

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Los Angeles

Licensee:BAART Behavioral Health Services, Inc. DBA: N/A Address: 15229 East Amar Road City: La Puente Zip: 91744 Phone: (626) 855-5090 Fax: (626) 961-1810 Operating Hours: 5:30 a.m.-10 a.m.;11 a.m.-1:30 pDispensing Hours: 5:30-10 a.m.;11 a.m.-12:30 p.m. Weekend Operating Hours: 6:00 a.m. - 9:30 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:30 a.m. Executive Director: Nicole Benoit Medical Director: Craig Bailey, M.D. Program Director: Rose Perry


CADDS # 197310 D/MC # 69AJ



LAAM: No 2+2: No

30 Day TH's: Yes

Licensee:Western Pacific Med-Corp. DBA: N/A Address: 11902 Rosecrans Boulevard, Suites A & D City: Norwalk Zip: 90650 Phone: (562) 929-7188 Fax: (562) 929-7575 Operating Hours: 5:00 a.m. - 1:45 p.m.Dispensing Hours: 5a.m.-12p.m.(Lunch 9:45-10:30a Weekend Operating Hours: 5:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:5:00 a.m. - 8:30 a.m. Executive Director: *Mark R. Hickman Medical Director: Raaga Iskarous, M.D. Program Director: Mona Taylor


CADDS # D191968 D/MC # 1968



LAAM: Yes 2+2: Yes

30 Day TH's: Yes

Licensee:Addiction Research and Treatment, Inc. DBA: Bay Area Addiction Research and Treatment Address: 1926 West Beverly Boulevard City: Los Angeles Zip: 90057 Phone: (213) 353-1140 Fax: (213) 353-1151 Operating Hours: 5:30 a.m. - 1:30 p.m.Dispensing Hours: 5:30 a.m.-10 a.m.;11a.m.-12:30 p Weekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 9:45 a.m. Executive Director: Nicole Benoit Medical Director: David Koroshec, M.D. Program Director: Louie Morales


CADDS # 196916 D/MC # 69AK



LAAM: No 2+2: Yes

30 Day TH's: Yes

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Los Angeles

Licensee:BAART Behavioral Health Services, Inc. DBA: N/A Address: 1926 West Beverly Boulevard City: Los Angeles Zip: 90057 Phone: (213) 353-1140 Fax: (213) 353-1151 Operating Hours: 5:30 a.m. - 1:30 p.m.Dispensing Hours: 5:30 a.m. - 12:30 a.m. Weekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 9:45 a.m. Executive Director: Nicole Benoit Medical Director: David Koroshec, M.D. Program Director: Louie Morales


CADDS # 197302 D/MC # 7302



LAAM: No 2+2: No

30 Day TH's: Yes

Licensee:Western Pacific Med-Corp. DBA: N/A Address: 45335 Sierra Highway City: Lancaster Zip: 93534 Phone: (661) 949-8599 Fax: (661) 723-3179 Operating Hours: 5:45 a.m. - 2:30 p.m.Dispensing Hours: 5:45 a.m. - 1:00 p.m. Weekend Operating Hours: 5:45 a.m. - 9:45 a.m. Weekend Dispensing Hours:5:45 a.m. - 9:30 a.m. Executive Director: *Mark R. Hickman Medical Director: John Korzelius, M.D. Program Director: Shonda Celestine


CADDS # D191980 D/MC # 1980



LAAM: Yes 2+2: Yes

30 Day TH's: Yes

Licensee:Western Pacific RE-HAB DBA: N/A Address: 9462 Van Nuys Boulevard City: Panorama Zip: 91402 Phone: (818) 891-8555 Fax: (818) 891-8649 Operating Hours: 5:45 a.m. - 2:30 p.m.Dispensing Hours: 5:45 a.m. - 1:00 p.m. Weekend Operating Hours: 5:45 a.m. - 9:45 a.m. Weekend Dispensing Hours:5:45 a.m. - 9:30 a.m. Executive Director: *Mark R. Hickman Medical Director: Daryoosh Sami, M.D. Program Director: Angeline Veverka, LVN


CADDS # D197000 D/MC # 7000





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Los Angeles

Licensee:Western Pacific RE-HAB DBA: N/A Address: 45335 Sierra Highway City: Lancaster Zip: 93534 Phone: (661) 949-8599 Fax: (661) 723-3179 Operating Hours: 5:45 a.m. - 2:30 p.m.Dispensing Hours: 5:45 a.m. - 1:00 p.m. Weekend Operating Hours: 5:45 a.m. - 9:45 a.m. Weekend Dispensing Hours:5:45 a.m. - 9:30 a.m. Executive Director: *Mark R. Hickman Medical Director: John Korzelius, M.D. Program Director: Shonda Celestine


CADDS # D191980 D/MC # 1980





Licensee:Western Pacific RE-HAB DBA: N/A Address: 7232 Canby Avenue, Suite 4, 5, & 6 City: Reseda Zip: 91335 Phone: (818) 705-5561 Fax: (818) 705-8248 Operating Hours: 5:45 a.m. - 2:30 p.m.Dispensing Hours: 5:45 a.m. - 1:00 p.m. Weekend Operating Hours: 5:45 a.m. - 9:45 a.m. Weekend Dispensing Hours:5:45 a.m. - 9:30 a.m. Executive Director: *Mark R. Hickman Medical Director: Daryoosh Sami, M.D. Program Director: Erica Tapia


CADDS # D191948 D/MC # 1948





Licensee:Western Pacific RE-HAB DBA: N/A Address: 11902 Rosecrans Boulevard City: Norwalk Zip: 90650 Phone: (562) 929-7188 Fax: (562) 929-7575 Operating Hours: 5:00 a.m. - 1:45 p.m.Dispensing Hours: 5:00 a.m. - 12:00 p.m. Weekend Operating Hours: 5:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:5:00 a.m. - 8:30 a.m. Executive Director: *Mark R. Hickman Medical Director: Raaga Iskarous, M.D. Program Director: Mona Taylor


CADDS # D191968 D/MC # 1968





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Los Angeles

Licensee:Western Pacific RE-HAB DBA: N/A Address: 4544 San Fernando Road, Suite 201 City: Glendale Zip: 91204 Phone: (818) 240-8843 Fax: (818) 240-8885 Operating Hours: 5:45 a.m. - 2:30 p.m.Dispensing Hours: 5:45 a.m. - 1:00 p.m. Weekend Operating Hours: 5:45 a.m. - 9:45 a.m. Weekend Dispensing Hours:5:45 a.m. - 9:30 a.m. Executive Director: *Mark R. Hickman Medical Director: David Sami, M.D. Program Director: Shirley Poordawood


CADDS # 191949 D/MC # 1949





Licensee:Tavarua Medical Rehabilitation Services DBA: N/A Address: 474 S. Citrus Avenue City: Azusa Zip: 91702 Phone: (626) 858-9500 Fax: (626) 858-9090 Operating Hours: 5:30 a.m. - 2:00 p.m.Dispensing Hours: 5:30 am-1 pm (Lunch 10:30-11:2 Weekend Operating Hours: 7:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 9:00 a.m. Executive Director: *Seanjay R. Sharma Medical Director: Michael Yadegari, M.D. Program Director: Phyllis Calderon


CADDS # 196984 D/MC # 19CQ





Licensee:West County Medical Corporation DBA: N/A Address: 2272 Pacific Avenue, Suite A City: Long Beach Zip: 90806 Phone: (562) 427-8018 Fax: (562) 427-8130 Operating Hours: 6:00 a.m. - 2:30 p.m.Dispensing Hours: 6:00 a.m. - 1:30 p.m. Weekend Operating Hours: 7:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 9:00 a.m. Executive Director: *Seanjay R. Sharma Medical Director: Michael Yadegari, M.D. Program Director: Mignon Bell


CADDS # 197360 D/MC # 7360





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Los Angeles

Licensee:CLARE Foundation, Inc. DBA: Matrix Institute on Addictions Address: 5220 W. Washington Blvd, Ste 101, 104, 200, 203, 206-208 City: Los Angeles Zip: 90016 Phone: (323) 933-9186 Fax: (323) 933-7146 Operating Hours: 5:00 a.m. - 11:00 a.m.;12 -2 p.m.Dispensing Hours: 5 a.m.-2 p.m.(Lunch 11a.m.-12 p Weekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:00 a.m. Executive Director: Lisa Steele Medical Director: Scott C. Fears, M.D., Ph.D. Program Director: Stephen Rodgers, MA


CADDS # D191977 D/MC # 1977



Total Slots: 400 LAAM: Yes


Licensee:Eldorado Community Service Center DBA: N/A Address: 4023 Marine Avenue City: Lawndale Zip: 90260 Phone: (310) 675-9555 Fax: (310) 263-1909 Operating Hours: 6:00 a.m. - 2:30 p.m.Dispensing Hours: 6:00 a.m. - 1:30 p.m. Weekend Operating Hours: 6:45 a.m. - 8:15 a.m. Weekend Dispensing Hours:7:00 a.m. - 8:00 a.m. Executive Director: *Seanjay R. Sharma Medical Director: Michael Yadegari, M.D. Program Director: Michelle Murphy


CADDS # C196713 D/MC # 6713





Licensee:Eldorado Community Service Center DBA: N/A Address: 24625 Arch Street City: Newhall Zip: 91321 Phone: (661) 288-2644 Fax: (661) 288-2669 Operating Hours: 6:00 a.m. - 2:30 p.m.Dispensing Hours: 6:00 a.m. - 1:30 p.m. Weekend Operating Hours: 7:30 a.m. - 8:30 a.m. Weekend Dispensing Hours:7:30 a.m. - 8:30 p.m.Executive Director: *Seanjay R. Sharma Medical Director: Michael Yadegari, M.D. Program Director: Judy Waters


CADDS # C196714 D/MC # 6714





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Los Angeles

Licensee:Western Pacific Med-Corp. DBA: N/A Address: 14332 Victory Boulevard City: Van Nuys Zip: 91401 Phone: (818) 989-1996 Fax: (818) 989-8056 Operating Hours: 5:45 a.m. - 2:30 p.m.Dispensing Hours: 5:45- 9:30 a.m.;10:15 a.m.- 1 p.m Weekend Operating Hours: 5:45 a.m. - 9:45 a.m. Weekend Dispensing Hours:5:45 a.m. - 9:30 a.m. Executive Director: *Mark R. Hickman Medical Director: David Sami, M.D. Program Director: Arthur Poordawood


CADDS # C196805 D/MC # 6805



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Western Pacific Med-Corp. DBA: N/A Address: 11321 Camarillo Street City: North Hollywood Zip: 91602 Phone: (818) 506-4455 Fax: (818) 506-5185 Operating Hours: 5:45 a.m. - 2:30 p.m.Dispensing Hours: 5:45 a.m. - 1:00 p.m. Weekend Operating Hours: 5:45 a.m. - 9:45 a.m. Weekend Dispensing Hours:5:45 a.m. - 9:30 a.m. Executive Director: *Mark R. Hickman Medical Director: David Sami, M.D. Program Director: Michelle Blalock


CADDS # C191902 D/MC # 1902



LAAM: No 2+2: No

30 Day TH's: Yes

Licensee:American Health Services, LLC DBA: N/A Address: 5015 Pico Boulevard City: Los Angeles Zip: 90019 Phone: (323) 653-1677 Fax: (323) 936-9435 Operating Hours: 6:00 a.m. - 2:30 p.m.Dispensing Hours: 6a.m.-1:30p.m.(Lunch 11a.m.-12 Weekend Operating Hours: 8:30 a.m. - 9:30 a.m. Weekend Dispensing Hours:7:00 a.m. - 11:00 a.m. Executive Director: *Seanjay R. Sharma Medical Director: Michale Yadegari, M.D. Program Director: Evelyn Sosa


CADDS # C196734 D/MC # 6734



LAAM: No 2+2: Yes

30 Day TH's: Yes

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Los Angeles

Licensee:American Health Services, LLC DBA: N/A Address: 2720 East Palmdale Boulevard, Suites 129, 130 & 131 City: Palmdale Zip: 93550 Phone: (661) 947-3333 Fax: (661) 575-2397 Operating Hours: 6:00 a.m. - 2:30 p.m.Dispensing Hours: 6:00 a.m. - 1:30 p.m. Weekend Operating Hours: 9:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:9:00 a.m. - 10:00 a.m. Executive Director: *Seanjay R. Sharma Medical Director: Michael Yadegari, M.D. Program Director: Brandie O'brien


CADDS # C196905 D/MC # 6905



LAAM: Yes 2+2: Yes

30 Day TH's: Yes

Licensee:American Health Services, LLC DBA: N/A Address: 717 Lincoln Boulevard City: Venice Zip: 90291 Phone: (310) 399-9883 Fax: (310) 399-9678 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5:00 a.m. - 12:30 p.m. Weekend Operating Hours: 9:30 a.m. - 11:00 a.m. Weekend Dispensing Hours:9:30 a.m. - 11:00 a.m. Executive Director: *Seanjay R. Sharma Medical Director: Michael Yadegari, M.D. Program Director: Michelle Beard


CADDS # C196918 D/MC # 6737



LAAM: Yes 2+2: Yes

30 Day TH's: Yes

Licensee:American Health Services, LLC DBA: Van Nuys Medical and Mental Health Services Address: 6265 Sepulveda Boulevard, Suite 9 City: Van Nuys Zip: 91411 Phone: (818) 779-0555 Fax: (818) 779-0455 Operating Hours: 5:30 a.m. - 2:00 p.m.Dispensing Hours: 5:30 a.m - 1:00 p.m. Weekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:00 a.m. Executive Director: *Seanjay R. Sharma Medical Director: Michael Yadegari, M.D. Program Director: Ramona Fluellen


CADDS # C196803 D/MC # 1990



LAAM: Yes 2+2: Yes

30 Day TH's: Yes

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Los Angeles

Licensee:American Health Services, LLC DBA: N/A Address: 21505 Norwalk Boulevard City: Hawaiian Gardens Zip: 90716 Phone: (562) 916-7581 Fax: (562) 916-7592 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5 a.m.-12:30 p.m.(Lunch 10-11 a Weekend Operating Hours: 7:30 a.m. - 11:30 a.m. Weekend Dispensing Hours:7:30 a.m. - 11:30 a.m. Executive Director: *Seanjay R. Sharma Medical Director: Michael Yadegari, M.D. Program Director: Christine Periman


CADDS # 196789 D/MC # 6789



LAAM: Yes 2+2: Yes

30 Day TH's: Yes

Licensee:Addiction Research and Treatment, Inc. DBA: Bay Area Addiction Research and Treatment Address: 11682 Atlantic Avenue City: Lynwood Zip: 90262 Phone: (310) 537-5883 Fax: (310) 537-5587 Operating Hours: 5:30 a.m. - 1:30 p.m.Dispensing Hours: 5:30 - 10 a.m.;11 a.m. - 12:45 p.m Weekend Operating Hours: 5:30 a.m. - 9:00 a.m. Weekend Dispensing Hours:5:30 a.m. - 9:00 a.m. Executive Director: Nicole Benoit Medical Director: Craig Bailey, M.D. Program Director: Elissa Wilson


CADDS # C197085 D/MC # 7085



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:BAART Behavioral Health Services, Inc. DBA: N/A Address: 11682 Atlantic Avenue City: Lynwood Zip: 90262 Phone: (310) 537-5883 Fax: (310) 537-5587 Operating Hours: 5:30 a.m. - 1:30 p.m.Dispensing Hours: 5:30 - 10 a.m.;11 a.m. - 12:45 p.m Weekend Operating Hours: 5:30 a.m. - 9:00 a.m. Weekend Dispensing Hours:5:30 a.m. - 9:00 a.m. Executive Director: Nicole Benoit Medical Director: Kantilal Patel, M.D. Program Director: Elissa Wilson


CADDS # 197309 D/MC # XXXX



LAAM: No 2+2: No

30 Day TH's: No

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Los Angeles

Licensee:Eldorado Community Service Center DBA: N/A Address: 5200 San Gabriel Place, Suites B & C City: Pico Rivera Zip: 90660 Phone: (562) 222-1331 Fax: (562) 222-1322 Operating Hours: 5:30 a.m. - 2:00 p.m.Dispensing Hours: 5:30 a.m. - 12:30 p.m. Weekend Operating Hours: 7:45 a.m. - 9:00 a.m. Weekend Dispensing Hours:8:00 a.m. - 9:00 a.m. Executive Director: *Seanjay R. Sharma Medical Director: Michael Yadegari, M.D. Program Director: Michelle Murphy


CADDS # C196965 D/MC # 19AP





Licensee:Narcotic Addiction Treatment Agency, Inc. DBA: N/A Address: 8741 Laurel Canyon Boulevard City: Sun Valley Zip: 91352 Phone: (818) 768-5525 Fax: (818) 768-5530 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6:00 a.m. - 11:00 a.m. Weekend Operating Hours: By appointmentWeekend Dispensing Hours:8:00 a.m. - 10:00 a.m. or by apptExecutive Director: *William C. Wilson Medical Director: Darrell Webb, M.D. Program Director: Christy Wilson


CADDS # C197128 D/MC # 7128



LAAM: No 2+2: Yes

30 Day TH's: No

Licensee:Tarzana Treatment Center, Inc. DBA: N/A Address: 18646 Oxnard Street City: Tarzana Zip: 91356 Phone: (818) 996-1051 Fax: (818) 996-3051 Operating Hours: 6:00 a.m. - 6:00 p.m.Dispensing Hours: 6:00 a.m. - 6:00 p.m. Weekend Operating Hours: N/AWeekend Dispensing Hours:6:00 a.m. - 6:00 p.m.Executive Director: *Albert Senella Medical Director: E. Duane Carmalt, M.D. Program Director: Stan Galperson, Ph.D

License # 19-152 OTP CA10, 300H

CADDS # 196779 D/MC # 6779





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Los Angeles

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 1825 E. Thelborn Street City: West Covina Zip: 91791 Phone: (626) 915-3844 Fax: (626) 915-3845 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5 a.m.-9 a.m.;10 a.m.-12:30 p.m. Weekend Operating Hours: 6:30 a.m. - 9:00 a.m. Weekend Dispensing Hours:6:30 a.m. - 9:00 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Jennifer Gibbons


CADDS # 191927 D/MC # 6746



LAAM: No 2+2: Yes

30 Day TH's: No

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 14240 Imperial Highway and 14238 Imperial Highway City: La Mirada Zip: 90638 Phone: (562) 946-1587 Fax: (562) 946-5740 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5a.m. - 9a.m.;10a.m - 12:30p.m. Weekend Operating Hours: 6:30 a.m. - 8:30 a.m. Weekend Dispensing Hours:6:30 a.m. - 8:30 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Lesvy Granillo


CADDS # 191915 D/MC # 6745



LAAM: No 2+2: Yes

30 Day TH's: No

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 1050 N. Garey Avenue City: Pomona Zip: 91767 Phone: (909) 623-6391 Fax: (909) 620-9491 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5 - 9 a.m. 10 a.m. - 12:30 p.m. Weekend Operating Hours: 5:00 a.m. - 8:00 a.m. Weekend Dispensing Hours:5:00 a.m. - 8:00 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Jill Teagardin


CADDS # 196999 D/MC # 6752



LAAM: No 2+2: Yes

30 Day TH's: No

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Los Angeles

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 11041 E. Valley Boulevard City: El Monte Zip: 91731 Phone: (626) 442-4177 Fax: (626) 442-4498 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5 - 9 a.m; 10 a.m. - 12:30 p.m. Weekend Operating Hours: 6:30 a.m. - 9:00 a.m. Weekend Dispensing Hours:6:30 a.m. - 9:00 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Anthony Ruiz


CADDS # 191956 D/MC # 6747



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 1322 N. Avalon Boulevard City: Wilmington Zip: 90744 Phone: (310) 513-1300 Fax: (310) 513-1311 Operating Hours: 5:00 a.m. - 6:30 p.m.Dispensing Hours: 5 - 9am;10am - 12:30pm; 1:30 -Weekend Operating Hours: 6:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Mauro Barrachetti


CADDS # 191973 D/MC # 6750



LAAM: No 2+2: Yes

30 Day TH's: No

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 614 West Manchester Boulevard, Suite 104 City: Inglewood Zip: 90301 Phone: (310) 412-0879 Fax: (310) 412-3365 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5 - 9:00 a.m.;10 a.m. - 12:30 p.m Weekend Operating Hours: 7:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 9:00 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Leya Worcester


CADDS # 191974 D/MC # 6751



LAAM: No 2+2: Yes

30 Day TH's: No

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Los Angeles

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 1450 N. Lake Avenue, Suite 150 City: Pasadena Zip: 91104 Phone: (626) 794-1161 Fax: (626) 794-6071 Operating Hours: M 5:30a.m.-3p.m.;T-F 6:30a.m.-Dispensing Hours: M5:30-10:30a;T-F6:30-10:30a+1 Weekend Operating Hours: 7:00 a.m. - 11:00 a.m. Weekend Dispensing Hours:8:00 a.m. - 10:00 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Anthony Ruiz


CADDS # 191972 D/MC # 6749



LAAM: No 2+2: Yes

30 Day TH's: No

Licensee:Addiction Research and Treatment, Inc DBA: N/A Address: 1701 Zonal Avenue City: Los Angeles Zip: 90033 Phone: (323) 223-6298 Fax: (323) 223-6399 Operating Hours: 5:30 a.m. - 1:30 p.m.Dispensing Hours: 5:30 a.m.;11:00 a.m. - 12:30 p.m Weekend Operating Hours: 6:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: Daniza Morales-Orellana Medical Director: Thomas Farnham, M.D. Program Director: Jamie Fernandez


CADDS # XXXX D/MC # 19DZ



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:BAART Behavioral Health Services, Inc. DBA: N/A Address: 1701 Zonal Ave City: Los Angeles Zip: 90033 Phone: (323) 223-6298 Fax: (323) 223-6399 Operating Hours: 5:30 a.m. - 1:30 p.m.Dispensing Hours: 5:30 a.m.;11:00 a.m. - 12:30 p.m Weekend Operating Hours: 6:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: Daniza Morales-Orellana Medical Director: Thomas Farnham, M.D. Program Director: Michael Roa


CADDS # XXXX D/MC # XXXX



LAAM: No 2+2: Yes

30 Day TH's: No

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Los Angeles

Licensee:Hollywood Medical Rehabilitation Care, Inc. DBA: N/A Address: 5232 W. Sunset Blvd. City: Los Angeles Zip: 90027 Phone: 323-660-0900 Fax: 323-660-0908 Operating Hours: 5:30 am - 2:00 pmDispensing Hours: 5:30 am - 1:30 pm Weekend Operating Hours: 7:00 am - 10:00 am Weekend Dispensing Hours:7:00 am - 10:00 am Executive Director: Jora Papoyan Medical Director: David de la Loza Program Director: Mary Ann Laramee


CADDS # XXX D/MC # XXX



LAAM: No 2+2: Y

30 Day TH's: No

Licensee:ALT Recovery Group 2, LLC DBA: N/A Address: 20946 Devonshire Street, Suite # 100 City: Chatsworth Zip: 91311 Phone: (818) 626-8053 Fax: XXX Operating Hours: M - F 5:00am - 1:30pmDispensing Hours: M-F 5a-9a; Clsd 9a-9:30a; 10a-1 Weekend Operating Hours: Closed + HolidaysWeekend Dispensing Hours:5:00am - 9:00am + HolidaysExecutive Director: Anthony Lanza Medical Director: Alexander Simopoulos, M.D. Program Director: Michelle King


CADDS # XXXXXX D/MC # 19XX



LAAM: No 2+2: No

30 Day TH's: No

Licensee:Addiction Research and Treatment, Inc. DBA: MedMark Treatment Centers Los Angeles Address: 11900 Avalon Boulevard, Suite 200 City: Los Angeles Zip: 90061 Phone: (323) 242-0500 Fax: (323) 242-0600 Operating Hours: 6:30 a.m. - 3:00 p.m.Dispensing Hours: 6:30 a.m. - 1:30 p.m. Weekend Operating Hours: Sat 8am-4pm; Sun+Holi 8-9amWeekend Dispensing Hours:Sat, Sun, Holidays 8am - 9amExecutive Director: *Daniza Morales Orelana Medical Director: Jack Azad, M.D. Program Director: Rose Perry


CADDS # XXXXXX D/MC # XXXX



LAAM: No 2+2: Yes

30 Day TH's: Yes

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01/03/2019

Los Angeles

Licensee:Tarzana Treatment Centers, Inc. DBA: N/A Address: 320 East Palmdale Boulevard City: Palmdale Zip: 93550 Phone: (818) 996-1051 Fax: (818) 996-3051 Operating Hours: M-F 8am - 7pmDispensing Hours: M-F 6am - 8am and 3pm - 5 pmWeekend Operating Hours: Sat 8am - 2pm; Sun ClosedWeekend Dispensing Hours:Sat and Sun 8am - 10 amExecutive Director: Albert Senella Medical Director: Duane Carmalt, M.D. Program Director: Tom Martinez

License # 19-166 OTP CA10, XXXM

CADDS # XXXXXXX D/MC # XXXX


Tax Status: Non-Profit



Page 30


01/03/2019

Marin

Licensee:Marin Treatment Center DBA: N/A Address: 1466 Lincoln Avenue City: San Rafael Zip: 94901 Phone: (415) 457-3755 Fax: (415) 457-0849 Operating Hours: 8 a.m.-4 p.m.;F 8 a.m.-12 p.m.Dispensing Hours: 7 a.m.-10 a.m.;10:30 a.m.-11:30 Weekend Operating Hours: N/AWeekend Dispensing Hours:7:45 a.m. - 10:30 a.m.Executive Director: *Brian Slattery Medical Director: Russell Sandberg, M.D. Program Director: Jonathan Fong


CADDS # D212173 D/MC # 2173





Page 31


01/03/2019

Merced

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 1343 W. Main Street, Suites A & B and 1349 W. Main Street City: Merced Zip: 95340 Phone: (209) 725-1060 Fax: (209) 725-1064 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5 a.m.-9:15 a.m.;10 a.m.-12:30 pWeekend Operating Hours: 6:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: *Alexander Dodd Medical Director: Marc Lasher, M.D. Program Director: Moises Alcantara


CADDS # 242412 D/MC # 2412


Tax Status: Profit



Page 32


01/03/2019

Monterey

Licensee:Community Human Services DBA: Off Main Clinic Address: 1083 South Main Street City: Salinas Zip: 93901 Phone: (831) 424-4828 Fax: (831) 424-5838 Operating Hours: 6:00 a.m. - 2:30 p.m.Dispensing Hours: 6:00 a.m. - 1:00 p.m. Weekend Operating Hours: 7:00 a.m. - 9:30 a.m. Weekend Dispensing Hours:7:00 a.m. - 9:30 a.m. Executive Director: *Robin McCrae Medical Director: Edgar Castellanos, M.D. Program Director: Shawn Stone


CADDS # D272735 D/MC # 2735





Licensee:Valley Health Associates DBA: N/A Address: 338 Monterey Street City: Salinas Zip: 93901 Phone: (831) 424-6655 Fax: (831) 424-9717 Operating Hours: M-Th 6:30am - 3pm; F 6:30am -Dispensing Hours: 6:30 a.m. - 2:30 p.m. Weekend Operating Hours: 7:30 a.m. - 10 a.m. Weekend Dispensing Hours:7:30 a.m. - 10:30 a.m. Executive Director: *Amy Bravo Medical Director: Edgar Castellanos, M.D. Program Director: Amy Bravo


CADDS # 272799 D/MC # 2799





Page 33


01/03/2019

Orange

Licensee:California Treatment Services, LLC DBA: Recovery Solutions of Santa Ana Address: 2101 East 1st Street City: Santa Ana Zip: 92705 Phone: (714) 542-3581 Fax: (714) 542-2246 Operating Hours: 5:00 a.m. - 2:00 p.m.Dispensing Hours: 5:00 a.m. - 2:30 p.m. Weekend Operating Hours: 6:30 a.m. - 9:30 a.m. Weekend Dispensing Hours:6:30 a.m. - 9:30 a.m. Executive Director: Dino Quarante Medical Director: Michael T. Mumford, M.D. Program Director: Stacy Sugar


CADDS # D303097 D/MC # 3097



LAAM: No 2+2: No

30 Day TH's: Yes

Licensee:Western Pacific Med-Corp. DBA: N/A Address: 10751 Dale Avenue City: Stanton Zip: 90680 Phone: (714) 821-5311 Fax: (714) 821-6302 Operating Hours: 5:30 a.m. - 2:15 p.m.Dispensing Hours: 5:30 a.m. - 12:30 p.m. Weekend Operating Hours: 5:30 a.m. - 9:30 a.m. Weekend Dispensing Hours:5:30 a.m. - 9:00 a.m. Executive Director: *Mark R. Hickman Medical Director: Placido Macaraeg, M.D. Program Director: Chris O'toole, Acting


CADDS # D303098 D/MC # 3098



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Western Pacific Med-Corp. DBA: N/A Address: 218 East Commonwealth Avenue City: Fullerton Zip: 92832 Phone: (714) 992-4770 Fax: (714) 992-5475 Operating Hours: 5 a.m. - 1:45 p.m.Dispensing Hours: 5 a.m. - 12 p.m. Weekend Operating Hours: 5 a.m. - 1:45 p.m.Weekend Dispensing Hours:5 a.m. - 12 p.m.Executive Director: *Mark R. Hickman Medical Director: Placido Macaraeg, M.D. Program Director: Jerald Lewis


CADDS # D303099 D/MC # 3099



LAAM: Yes 2+2: Yes

30 Day TH's: Yes

Page 34


01/03/2019

Orange

Licensee:Western Pacific RE-HAB DBA: N/A Address: 275 Victoria Street, Suite 1H City: Costa Mesa Zip: 92627Phone: 949-629-2860 Fax: 949-629-2867

Dispensing Hours:Operating Hours:

5:00a - 12:00p5:00a - 1:45p

Weekend Operating Hours: 5:00a - 1:45pWeekend Dispensing Hours:8:30a - 9:15a Executive Director: *Mark R. Hickman Medical Director: David Sami, M.D. Program Director: Chris O'Toole


CADDS # 308023 D/MC # xxxx





Licensee:Western Pacific RE-HAB DBA: N/A Address: 218 East Commonwealth Avenue City: Fullerton Zip: 92832 Phone: (714) 992-4770 Fax: (714) 992-5475 Operating Hours: 5 a.m. - 1:45 p.m.Dispensing Hours: 5 a.m. - 12 p.m. Weekend Operating Hours: 5 a.m. - 1:45 p.m.Weekend Dispensing Hours:5 a.m.- 12 p.m.Executive Director: *Mark R. Hickman Medical Director: Placido Macaraeg, M.D. Program Director: Jerald Lewis


CADDS # 308022 D/MC # xxxx





Page 35


01/03/2019

Placer

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 1133 Coloma Way, Suite A, B, & C City: Roseville Zip: 95661 Phone: (916) 774-6647 Fax: (916) 774-6456 Operating Hours: 5:00 a.m. - 5:30 p.m.Dispensing Hours: 5a.m - 1 p.m.; 2 p.m. - 4:30 p.m.Weekend Operating Hours: 6:00 a.m. - 1 p.m.Weekend Dispensing Hours:6 a.m.- 10 a.m.;11a.m. - 1:30 p.mExecutive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Deanna Meyer


CADDS # 313124 D/MC # 3127


Tax Status: Profit



Page 36


01/03/2019

Riverside

Licensee:WCHS, Inc. DBA: Riverside Treatment Center Address: 1021 West La Cadena City: Riverside Zip: 92501 Phone: (951) 784-8010 Fax: (951) 784-2859 Operating Hours: 4:45 a.m. - 3:30 p.m.Dispensing Hours: 5am-3pm (Lunch 9:30-10:30) ex Weekend Operating Hours: 6:45 a.m. - 10:45 a.m. Weekend Dispensing Hours:7:00 a.m. - 9:30 a.m. Executive Director: Dino Quarante Medical Director: Mario V. Manese, M.D. Program Director: Tami Elkins


CADDS # D333390 D/MC # 3390



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:WCHS, Inc. DBA: Desert Treatment Clinic Address: 1330 North Indian Canyon Drive, Suites A, B, C City: Palm Springs Zip: 92262 Phone: (760) 322-9065 Fax: (760) 322-8916 Operating Hours: 5 am - 2 pmDispensing Hours: 5 am - 1 pm (Lunch 9-9:30 a.m.) Weekend Operating Hours: 6 am - 9 am Weekend Dispensing Hours:6 am - 9 am Executive Director: Diana Wydo, LCSW Medical Director: Barry Solof, M.D. Program Director: Eric Bolton, MSW


CADDS # 333337 D/MC # 3337



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:WCHS, Inc. DBA: Temecula Valley Treatment Center Address: 40700 California Oaks Road, Suites 201, 202, & 203 City: Murrieta Zip: 92562 Phone: (951) 894-5072 Fax: (951) 894-7324 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: MWThF 5:15a-1:15p;T 5:15-11: Weekend Operating Hours: 7:00 a.m. - 9:30 a.m. Weekend Dispensing Hours:7:00 a.m. - 9:30 a.m. Executive Director: Dino Quarante Medical Director: Kevin Feig, M.D. Program Director: Jay Hersog


CADDS # 333385 D/MC # 3385



LAAM: No 2+2: No

30 Day TH's: Yes

Page 37


01/03/2019

Riverside

Licensee:Evexia Health Services, LLC DBA: Evexia Health Services Address: 601 E. Florida Avenue City: Hemet Zip: 92543 Phone: (951) 391-1470 Fax: (951) 391-1467 Operating Hours: 5:30 a.m. - 2 p.m.Dispensing Hours: 5:30 a.m. - 1:30 p.m.Weekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:00 a.m. Executive Director: Anita Espinoza Medical Director: Tommy Zaharakis, M.D. Program Director: Christopher Lo


CADDS # 336889 D/MC # 33DR


Tax Status: Profit



Page 38


01/03/2019

Sacramento

Licensee:Treatment Associates, Inc. DBA: Sacramento Treatment Clinic Address: 7225 East Southgate Drive, Suite D City: Sacramento Zip: 95823 Phone: (916) 394-1000 Fax: (916) 394-1010 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5 a.m. -12:30 p.m.; W 5-11a.m. Weekend Operating Hours: 6:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 10:00 a.m. Executive Director: Dino Quarante Medical Director: Ian Johnson, M.D. Program Director: Lynsey Dubois


CADDS # C343416 D/MC # 34AB



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:MedMark Treatment Centers - Sacramento, Inc. DBA: N/A Address: 7240 East Southgate Drive, Suites B, E & G City: Sacramento Zip: 95823 Phone: (916) 391-4293 Fax: (916) 391-4247 Operating Hours: 4:30 a.m. - 1:30 p.m.Dispensing Hours: 5:00 a.m. - 1:00 p.m. Weekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:00 a.m. Executive Director: *David K. White, Ph.D. Medical Director: Gilbert Greene, D.O. Program Director: Douglas Hill


CADDS # 343443 D/MC # 34AC



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:C.O.R.E. MEDICAL CLINIC, INC. DBA: N/A Address: 2100 Capitol Avenue City: Sacramento Zip: 95816 Phone: (916) 442-4985 Fax: (916) 442-1029 Operating Hours: 6:00 a.m. - 2:30 p.m.Dispensing Hours: 6:15 a.m. - 1:30 p.m.; Th. 1 p.m. Weekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:15 a.m. - 10:00 a.m. Executive Director: *Randall L. Stenson, M.D. Medical Director: Randall L. Stenson, M.D. Program Director: Garrett Stenson, MSW


CADDS # 343494 D/MC # 34AE



LAAM: No 2+2: Yes

30 Day TH's: Yes

Page 39


01/03/2019

Sacramento

Licensee:Bi-Valley Medical Clinic, Inc. DBA: BAART Programs Norwood Address: 310 Harris Avenue, Suites A, E, F & G City: Sacramento Zip: 95838 Phone: (916) 649-6793 Fax: (916) 929-7411 Operating Hours: 5:00 a.m. - 2:00 p.m.Dispensing Hours: 5:15 a.m. - 1:30 p.m. Weekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:15 a.m. - 10:00 a.m. Executive Director: Nicole Benoit Medical Director: Khaled Aqeel, M.D. Program Director: Melissa Develey


CADDS # 343495 D/MC # 34AG


Tax Status: Profit



Licensee:BAART Behavioral Health Services, Inc. DBA: N/A Address: 310 Harris Avenue, Suite A City: Sacramento Zip: 95838 Phone: (916) 649-6793 Fax: (916) 929-7411 Operating Hours: 5:00 a.m. - 2:00 p.m.Dispensing Hours: 5:15 a.m. - 1:30 p.m. Weekend Operating Hours: 7:00 a.m. - 10:00 p.m.Weekend Dispensing Hours:7:15 a.m. - 10:00 a.m. Executive Director: Nicole Benoit Medical Director: Khaled Aqeel, M.D. Program Director: Melissa Develey





LAAM: No 2+2: No

30 Day TH's: No

Licensee:Bi-Valley Medical Clinic, Inc. DBA: BAART Programs Carmichael Address: 6127 Fair Oaks Boulevard City: Carmichael Zip: 95608 Phone: (916) 974-8090 Fax: (916) 974-7851 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6:15 a.m. - 1:30 p.m. Weekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:15 a.m. - 10:00 a.m. Executive Director: Nicole Benoit Medical Director: Ian Johnson, M.D. Program Director: Lynn Schue


CADDS # 343497 D/MC # 34AH



LAAM: No 2+2: Yes

30 Day TH's: Yes

Page 40


01/03/2019

Sacramento

Licensee:BAART Behavioral Health Services, Inc. DBA: N/A Address: 6127 Fair Oaks Boulevard City: Carmichael Zip: 95608 Phone: (916) 974-8090 Fax: (916) 974-7851 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6:15 a.m. - 1:30 p.m.Weekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:15 a.m. - 10:00 a.m. Executive Director: Nicole Benoit Medical Director: Ian Johnson, M.D. Program Director: Lynn Schue




Tax Status: Profit



Page 41


01/03/2019

San Bernardino

Licensee:WCHS, Inc. DBA: Colton Clinical Services Address: 2275 East Cooley Drive City: Colton Zip: 92324 Phone: (909) 370-1777 Fax: (909) 370-1776 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5am-12 pm Weekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:00 a.m. Executive Director: Dino Quarante Medical Director: Steven Ruh, M.D. Program Director: Jessica Robles


CADDS # 363602 D/MC # 3602



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 125 West "F" Street, Suite 101 City: Ontario Zip: 91762 Phone: (909) 986-4550 Fax: (909) 986-4506 Operating Hours: 5:00 a.m. - 6:30 p.m.Dispensing Hours: 5 a.m. - 12:30 p.m.; 1:30 - 6 p.m Weekend Operating Hours: 5:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:5:00 a.m. - 9:00 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Matthew Russell


CADDS # 363650 D/MC # 3656



LAAM: No 2+2: Yes

30 Day TH's: No

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 11776 Mariposa Road, Suites 101, 103 & 104 City: Hesperia Zip: 92345 Phone: (760) 956-2462 Fax: (760) 956-7542 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5:00 a.m. - 12:30 p.m. Weekend Operating Hours: 6:00 am - 10:00 am Weekend Dispensing Hours:6:00 am - 10:00 am Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Takisha Williams


CADDS # 363652 D/MC # 3657



LAAM: No 2+2: Yes

30 Day TH's: No

Page 42


01/03/2019

San Bernardino

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 1889 W. Redlands Blvd., Bldg. 9 City: Redlands Zip: 92373Phone: 909-501-5167 Fax: 909-801-8133

Dispensing Hours:Operating Hours:

5Am-9AM, 10AM-1230PM 5AM-130PM

Weekend Operating Hours: 6AM-10AM Weekend Dispensing Hours:6AM-10AM Executive Director: Alexander Dodd Medical Director: Aimie Apigian, M.D. Program Director: Christine French


CADDS # 00000 D/MC # 0000


Tax Status: Profit



Page 43


01/03/2019

San Diego

Licensee:San Diego Health Alliance, Inc. DBA: El Cajon Treatment Center Address: 234 North Magnolia Avenue City: El Cajon Zip: 92020 Phone: (619) 579-8373 Fax: (619) 579-8155 Operating Hours: M,T,Th,F 5:30a - 2p; W 5:30a -Dispensing Hours: M,T,Th,F 5:30a - 2p; W 5:30a- 1 Weekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:00 a.m. Executive Director: Dino Quarante Medical Director: Renee Kilmer, M.D. Program Director: Ed Petrivelli


CADDS # 378780 D/MC # 8780



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:San Diego Health Alliance, Inc. DBA: Capalina Clinic Address: 1560 Capalina Road City: San Marcos Zip: 92069 Phone: (760) 744-2104 Fax: (760) 744-1382 Operating Hours: 5:30 a.m. - 2 p.m. (T close at 1pmDispensing Hours: 5:30 a.m. - 2 p.m. (Tues at 1pm) Weekend Operating Hours: 7:00 a.m. - 9:30 a.m. Weekend Dispensing Hours:7:00 a.m. - 9:30 a.m. Executive Director: Dino Quarante Medical Director: Kevin Feig, M.D. Program Director: Travis Shepard


CADDS # 378778 D/MC # 8778



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:San Diego Health Alliance, Inc. DBA: Fashion Valley Clinic Address: 7545 Metropolitan Drive City: San Diego Zip: 92108 Phone: (619) 718-9890 Fax: (619) 718-9897 Operating Hours: 5:30 a.m. - 3:30 p.m.Dispensing Hours: 5:30 a.m. - 3:30 p.m. Weekend Operating Hours: 7:00 a.m. - 10:30 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:30 a.m. Executive Director: Dino Quarante Medical Director: Renee Kilmer Program Director: Karissa Shephard


CADDS # 378779 D/MC # 8779



LAAM: No 2+2: Yes

30 Day TH's: Yes

Page 44


01/03/2019

San Diego

Licensee:San Diego Treatment Services, LLC DBA: Third Avenue Clinic Address: 1155 Third Avenue City: Chula Vista Zip: 91911 Phone: (619) 498-8260 Fax: (619) 498-8265 Operating Hours: 5:30 a.m. - 2:00 p.m.Dispensing Hours: MTThF 5:30a - 2p; W 5:30a - 12 Weekend Operating Hours: 6:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 10:00 a.m. Executive Director: Dino Quarante Medical Director: Renee Kilmer, M.D. Program Director: Stefanie Salmond


CADDS # 378777 D/MC # 8777



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Mission Treatment Services, Inc. DBA: N/A Address: 161 N. Date Street City: Escondido Zip: 92025 Phone: (760) 745-7786 Fax: (760) 745-1061 Operating Hours: 5:30 a.m. - 2:00 p. m.Dispensing Hours: 5:30-10a; 10:30a-1:30p; W 5:30 Weekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:00 a.m. Executive Director: *Marc Lewison Medical Director: Michael Markopoulos, M.D. Program Director: Katherine Williams, CATC II


CADDS # 378514 D/MC # 8514



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Mission Treatment Services, Inc. DBA: N/A Address: 8898 Clairemont Mesa Blvd., Suite H City: San Diego Zip: 92123 Phone: (858) 715-1211 Fax: (858) 715-1274 Operating Hours: 5:30 a.m. - 1:30p.m.Dispensing Hours: 5:30-10a; 10:30a-1:30p; W 5:30 Weekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:00 a.m. Executive Director: *Marc Lewison Medical Director: Michael Markopolous, M.D. Program Director: Celena Mahan


CADDS # 378523 D/MC # 8523



LAAM: No 2+2: Yes

30 Day TH's: Yes

Page 45


01/03/2019

San Diego

Licensee:Progressive Medical Specialists, Inc. DBA: N/A Address: 4974 El Cajon Boulevard, Suites A & H City: San Diego Zip: 92115 Phone: (619) 286-4600 Fax: (619) 286-0060 Operating Hours: 5:15 a.m. - 1:45 p.m.Dispensing Hours: 5:30 a.m. - 1:00 p.m. Weekend Operating Hours: 7:00 a.m. - 10:30 a.m. Weekend Dispensing Hours:7:15 a.m. - 10:15 a.m. Executive Director: Beth Cene Kush Medical Director: Stephen Hansen, M.D. Program Director: Chris O'Rourke


CADDS # 378545 D/MC # 8545

Original License Date: 03/15/2006 Entity: Incorporated


LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Eldorado Community Service Center DBA: N/A Address: 1733 Euclid Avenue City: San Diego Zip: 92105 Phone: (619) 263-0433 Fax: (619) 263-3992 Operating Hours: 5:30 a.m. - 5:30 p.m.Dispensing Hours: 5:30 a.m. - 5:30 p.m. Weekend Operating Hours: 6:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 10:00 a.m. Executive Director: *Seanjay R. Sharma Medical Director: Vijaya K. Katukota, M.D. Program Director: Matthew Madden


CADDS # 378562 D/MC # 8562





Licensee:SOAP MAT, LLC DBA: N/A Address: 3230 Waring Court, Suites A1, A2 (GH), & A3 (N) City: Oceanside Zip: 92056 Phone: (760) 305-7528 Fax: (760) 509-4410 Operating Hours: 5:00 a.m. - 2:00 p.m.Dispensing Hours: 5:00 a.m. - 2:00 p.m. Weekend Operating Hours: 6:00 a.m. -12:00 p.m.Weekend Dispensing Hours:6:00 a.m. - 10:00 p.m.Executive Director: *Laura Rossi, Ph.D. Medical Director: Bruce Pevney, M.D. Program Director: Kathleen Morgan, LCSW


CADDS # 378571 D/MC # 8571



LAAM: No 2+2: Yes

30 Day TH's: Yes

Page 46


01/03/2019

San Diego

Licensee:Mission Treatment Services, Inc. DBA: N/A Address: 1905 Apple Street Suite 3 City: Oceanside Zip: 92054 Phone: (760) 547-1280 Fax: (760) 547-1268 Operating Hours: 5:30 a.m. - 1:30 p.m.Dispensing Hours: 5:30am-10a,10:30-1:30; W5:30aWeekend Operating Hours: 7:00 a.m. - 10:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:00 a.m. Executive Director: *Marc Lewison Medical Director: Michael Markopoulos, M.D. Program Director: Celena Mahan




Tax Status: Profit



Page 47


01/03/2019

San Francisco

Licensee:Addiction Research and Treatment, Inc. DBA: Bay Area Addiction Research and Treatment Address: 1111 Market Street City: San Francisco Zip: 94103 Phone: (415) 863-3883 Fax: (415) 863-7343 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6:00 a.m.-1:30 p.m. Weekend Operating Hours: 8:00 a.m. - 12:00 p.m.Weekend Dispensing Hours:8:00 a.m. - 12:00 p.m. Executive Director: Nadine Robbins-Laurent Medical Director: Brian Clear, M.D. Program Director: Timothy Fitzgerald


CADDS # 383812 D/MC # 38AH



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:BAART Behavioral Health Services, Inc. DBA: N/A Address: 1111 Market Street City: San Francisco Zip: 94103 Phone: (415) 863-3883 Fax: (415) 863-7343 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6 a.m.-2 p.m.; W 6 a.m.-12 p.m. Weekend Operating Hours: 8:00 a.m. - 12:00 p.m.Weekend Dispensing Hours:8:00 a.m. - 12:00 p.m.Executive Director: Nadine Robbins-Laurent Medical Director: Brian Clear, M.D. Program Director: Timothy Fitzgerald


CADDS # 383823 D/MC # 3823



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Addiction Research and Treatment, Inc. DBA: Bay Area Addiction Research and Treatment Address: 433 Turk Street City: San Francisco Zip: 94102 Phone: (415) 928-7800 Fax: (415) 928-3710 Operating Hours: 7:00 a.m. - 3:00 p.m.Dispensing Hours: 7:00 a.m. - 2:30 p.m. Weekend Operating Hours: 7:45 a.m. - 12:15 p.m.Weekend Dispensing Hours:8:00 a.m. - 12:00 p.m.Executive Director: Nadine Robbins-Laurent Medical Director: Brian Clear, M.D. Program Director: Teresa Fleming


CADDS # 383811 D/MC # 38AI



LAAM: Yes 2+2: Yes

30 Day TH's: Yes

Page 48


01/03/2019

San Francisco

Licensee:BAART Behavioral Health Services, Inc. DBA: N/A Address: 433 Turk Street City: San Francisco Zip: 94102 Phone: (415) 928-7800 Fax: (415) 928-3710 Operating Hours: 7:00 a.m. - 3:00 p.m.Dispensing Hours: 7-10:45a,12-2:30p; W 7-10:45a, Weekend Operating Hours: 7:45 a.m. - 12:15 p.m.Weekend Dispensing Hours:8:00 a.m. - 12:00 p.m. Executive Director: Nadine Robbins-Laurent Medical Director: Brian Clear, M.D. Program Director: Teresa Fleming


CADDS # 383822 D/MC # 3822



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Bay View-Hunter's Point Foundation for Comm. Improvement DBA: N/A Address: 1625 Carroll Avenue City: San Francisco Zip: 94124 Phone: (415) 822-8200 Fax: (415) 822-6822 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6:15 a.m. - 11:00 a.m. Weekend Operating Hours: 7:00 a.m. - 11:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:00 a.m. Executive Director: *Lillian Kim Shine Medical Director: Catherine Olson, M.D. Program Director: James Dixon


CADDS # 383816 D/MC # 3816





Licensee:San Francisco County Department of Public Health DBA: Opiate Treatment Outpatient Program Address: 1001 Potrero Avenue, Ward 93 / Ward 95 City: San Francisco Zip: 94110 Phone: (415) 206-8412 Fax: (415) 206-4153 Operating Hours: 6:45 a.m. - 3:00 p.m.Dispensing Hours: 6:45am - 11am; 12:30pm - 2pm Weekend Operating Hours: 7:30 a.m. - 2 p.m. and HolidaysWeekend Dispensing Hours:7:30-11:30am; 12:30-2pm & HoExecutive Director: David Tompkins, M.D. Medical Director: Brad Shapiro, M.D. Program Director: Hasija Sisic, R.N.


CADDS # 383813 D/MC # 3813

Original License Date: 06/04/1985 Entity: Government

Tax Status: Public 630Total Slots:

LAAM: No 2+2: Yes

30 Day TH's: Yes

Page 49


01/03/2019

San Francisco

Licensee:San Francisco County Department of Public Health DBA: Tom Waddell Health Center Address: 230 Golden Gate Avenue City: San Francisco Zip: 94102 Phone: (415) 355-7400 Fax: (415) 355-7408 Operating Hours: 8:30 a.m. - 5:00 p.m.Dispensing Hours: Weekend Operating Hours:Weekend Dispensing Hours: Executive Director: *Brad Shapiro, M.D. Medical Director: Brad Shapiro, M.D. Program Director: Natalie Bradley

License # 38-07A OTP CA10, 098M

CADDS # 383813 D/MC # 3813



LAAM: No 2+2: No

30 Day TH's: No

Licensee:San Francisco County Department of Public Health DBA: Potrero Hill Health Center Address: 1050 Wisconsin Street City: San Francisco Zip: 94107 Phone: (415) 648-3022 Fax: (415) 550-1639 Operating Hours: 8:30 a.m. to 5:30 p.m.Dispensing Hours: Weekend Operating Hours:Weekend Dispensing Hours:Executive Director: *Brad Shapiro, M.D. Medical Director: Brad Shapiro M.D. Program Director: Natalie Bradley

License # 38-07B OTP CA10, 098M

CADDS # 383813 D/MC # 3813



LAAM: No 2+2: No

30 Day TH's: No

Licensee:San Francisco County Department of Public Health DBA: San Francisco General Hospital Pharmacy Address: 1001 Potrero Avenue City: San Francisco Zip: 94110 Phone: (415) 206-8107 Fax: (415) 206-5469 Operating Hours: 9:00 a.m. - 8:00 p.m.Dispensing Hours: 8:00 a.m. - 10:30 a.m. Weekend Operating Hours: 9:00 a.m. - 1:00 p.m. Sat.Weekend Dispensing Hours:8:00 a.m. - 10:30 a.m. Sat.Executive Director: *Brad Shapiro, M.D. Medical Director: Brad Shapiro, M.D. Program Director: Natalie Bradley


CADDS # 383813 D/MC # 3813



LAAM: No 2+2: No

30 Day TH's: No

Page 50


01/03/2019

San Francisco

Licensee:San Francisco County Department of Public Health DBA: Community Behavioral Health Services Pharmacy Address: 1380 Howard Street, Room # 130 City: San Francisco Zip: 94103 Phone: (415) 255-3659 Fax: (415) 255-3754 Operating Hours: 9:00 a.m. - 4:30 p.m.Dispensing Hours: 9:00 a.m. - 4:30 p.m. Weekend Operating Hours: N/AWeekend Dispensing Hours:N/A Executive Director: *Brad Shapiro, M.D. Medical Director: Brad Shapiro, M.D. Program Director: Natalie Bradley

License # 38-07F OTP CA10, 098M

CADDS # 383813 D/MC # 3813



LAAM: No 2+2: No

30 Day TH's: No

Licensee:San Francisco County Department of Public Health DBA: Positive Health Program Address: 1001 Potrero Avenue, Building 80, 6th Floor City: San Francisco Zip: 94110 Phone: (415) 206-2488 Fax: (415) 206-3464 Operating Hours: 8:00 a.m. - 5:00 p.m.Dispensing Hours: Weekend Operating Hours:Weekend Dispensing Hours:Executive Director: *Brad Shapiro, M.D. Medical Director: Brad Shapiro, M.D. Program Director: Natalie Bradley

License # 38-07G OTP CA10, 098M

CADDS # 383813 D/MC # 3813



LAAM: No 2+2: No

30 Day TH's: No

Licensee:San Francisco County Department of Public Health DBA: Mobile Narcotic Treatment Address: 1676 Newcomb Avenue City: San Francisco Zip: 94103 Phone: (415) 206-8412 Fax: (415) 206-6875 Operating Hours: 6:30am-3pmDispensing Hours: 7-9am, 10:30a-12:30p Weekend Operating Hours: N/AWeekend Dispensing Hours:N/AExecutive Director: David Tompkins, M.D. Medical Director: Brad Shapiro, M.D. Program Director: Hasija Sisic, R.N.

License # 38-07M OTP CA10, 098M

CADDS # 383813 D/MC # 3813



LAAM: No 2+2: No

30 Day TH's: No

Page 51


01/03/2019

San Francisco

Licensee:Fort Help, LLC DBA: N/A Address: 915 Bryant Street City: San Francisco Zip: 94103 Phone: (415) 777-9953 Fax: (415) 777-4717 Operating Hours: 6:00 a.m. - 2:30 p.m.Dispensing Hours: 6:15 a.m. - 1:45 p.m. Weekend Operating Hours: 8:15 a.m. - 11:15 a.m. Weekend Dispensing Hours:8:15 a.m. - 11:15 a.m. Executive Director: Rebecca Lira Medical Director: Catherine Sanders, M.D. Program Director: DeWayne Smith


CADDS # 383836 D/MC # 3836



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Fort Help Mission Inc. DBA: N/A Address: 1101 Capp Street City: San Francisco Zip: 94110 Phone: (415) 821-1427 Fax: (415) 821-1426 Operating Hours: 6:15am - 11am, 11:30am - 1:45 pDispensing Hours: 6:15am - 11am, 11:30am - 1:45 p Weekend Operating Hours: 7 a.m. - 10 a.m. Weekend Dispensing Hours:7 a.m. - 10 a.m. Executive Director: Rebecca Lira Medical Director: Catherine Sanders, M.D. Program Director: Stacy Hampton


CADDS # 388907 D/MC # 8907



LAAM: No 2+2: Yes

30 Day TH's: No

Licensee:Westside Community Mental Health Center DBA: N/A Address: 1301 Pierce Street City: San Francisco Zip: 94115 Phone: (415) 563-8200 Fax: (415) 563-5985 Operating Hours: 8:00 a.m. - 3:30 p.m.Dispensing Hours: 7 - 10:45 a.m.; 12 - 1:45 p.m. Weekend Operating Hours: 8:00 a.m. - 11:00 p.m.Weekend Dispensing Hours:8:00 a.m. - 11:00 p.m.Executive Director: *Mary Ann Jones Medical Director: Akindele Kolade, M.D. Program Director: Tenisha Rodgers


CADDS # 383887 D/MC # 3887





Page 52


01/03/2019

San Joaquin

Licensee:MedMark Treatment Centers - Stockton, Inc. DBA: N/A Address: 1105 - 1111 N. El Dorado St. & 33 E. Magnolia St., #s 3 & 5 City: Stockton Zip: 95202 Phone: (209) 938-0228 Fax: (209) 938-0281 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5:00 a.m. - 1:00 p.m. Weekend Operating Hours: 7:00 a.m. - 11:00 a.m. Weekend Dispensing Hours:7-11a.m.;5 a.m.-1:30 p.m. Holida Executive Director: *David K. White, Ph.D. Medical Director: Gilbert Greene, D.O. Program Director: Allen Grim


CADDS # 393953 D/MC # 39AC



LAAM: No 2+2: No

30 Day TH's: Yes

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 8626 Lower Sacramento Road, Suite 41 City: Stockton Zip: 95210 Phone: (209) 478-2487 Fax: (209) 478-1476 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5-9 a.m.;10 a.m.-12:30 p.m. Weekend Operating Hours: 6:00 a.m. - 10:30 a.m. Weekend Dispensing Hours:6:00 a.m. - 10:30 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Ashle Archangel


CADDS # 393999 D/MC # 3974



LAAM: No 2+2: Yes

30 Day TH's: No

Licensee:Aegis Treatment Centers, LLC DBA: Healthy Connections Address: 1947 North California Street, Suites B and C City: Stockton Zip: 95204 Phone: (209) 463-0870 Fax: (209) 463-1803 Operating Hours: 5:00 a.m. - 2:00 p.m.Dispensing Hours: 5 a.m. - 1:00 p.m. Weekend Operating Hours: 7:00 a.m. - 11:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 11:00 a.m. Executive Director: *Alexander Dodd Medical Director: Ernest J. Vasti, M.D. Program Director: Anna Emery-Regalado


CADDS # 393910 D/MC # 3910



LAAM: No 2+2: Yes

30 Day TH's: No

Page 53


01/03/2019

San Joaquin

Licensee:Aegis Treatment Centers, LLC DBA: Healthy Connections 5th Street Medical Clinic Address: 1839 S. El Dorado Street City: Stockton Zip: 95206 Phone: (209)463-0872 Fax: (209)466-4446 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5:00 a.m. - 1:00 p.m. Weekend Operating Hours: 8:00 a.m. - 11:00 a.m. Weekend Dispensing Hours:8:00 a.m. - 11:00 a.m. Executive Director: *Alexander Dodd Medical Director: Ernest J. Vasti, M.D. Program Director: Victoria Beck


CADDS # 393949 D/MC # 3949



LAAM: No 2+2: Y

30 Day TH's: No

Licensee:Aegis Treatment Centers, LLC DBA: Healthy Connections Address: 441 S. Ham Lane, Suite A City: Lodi Zip: 95242 Phone: (209) 224-8940 Fax: (209) 224-5076 Operating Hours: 5:00 a.m. - 6:30 p.m.Dispensing Hours: 5am¿-9am,10am ¿-1pm,130pm-5 Weekend Operating Hours: 7:00 a.m. - 12:00 p.m.Weekend Dispensing Hours:7:00 a.m. - 11:00 a.m. Executive Director: *Alexander Dodd Medical Director: Ernest J. Vasti Program Director: Nancy Brison-Moll


CADDS # 393959 D/MC # 39AD



LAAM: No 2+2: Yes

30 Day TH's: No

Licensee:Aegis Treatment Centers, LLC DBA: Healthy Connections Address: 955 W. Center Street Suites 12A, 12B & 14 City: Manteca Zip: 95337 Phone: (209) 239-9600 Fax: (209) 239-2244 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5:30 a.m. - 1:00 p.m. Weekend Operating Hours: 8:00 a.m. - 11:00 a.m. Weekend Dispensing Hours:8:00 a.m. - 11:00 a.m. Executive Director: *Alexander Dodd Medical Director: Ernest Vasti, M.D. Program Director: Vanessa Brown


CADDS # XXXX D/MC # 39AE



LAAM: No 2+2: Yes

30 Day TH's: No

Page 54


01/03/2019

San Luis Obispo

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 6500 Morro Road, Suites C & D City: Atascadero Zip: 93422 Phone: (805) 461-5212 Fax: (805) 461-5873 Operating Hours: 6am - 2:30pm; M-Th 2:30pm - 7Dispensing Hours: 6-10am; 11am-1:30pm; M-Th 3-Weekend Operating Hours: 7:00 a.m. - 11:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 11:00 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Anna Murray


CADDS # 404002 D/MC # 4003


Tax Status: Profit



Page 55


01/03/2019

San Mateo

Licensee:Addiction Research and Treatment, Inc. DBA: N/A Address: 795 Willow Road, Building 332 City: Menlo Park Zip: 94025 Phone: (650) 324-1470 Fax: (650) 324-4149 Operating Hours: 6 a.m. - 2 p.m.Dispensing Hours: 6 a.m. - 1 p.m. Weekend Operating Hours: 7 a.m. - 10 a.m. Weekend Dispensing Hours:7 a.m. - 10 a.m. Executive Director: *Nadine Robbins-Laurent Medical Director: Emily Cohen, M.D. Program Director: Lilian Fillpot


CADDS # 414196 D/MC # 4196



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Behavioral Health Services, Inc. DBA: BAART Address: 795 Willow Road, Building 332 City: Menlo Park Zip: 94025 Phone: (650) 324-1470 Fax: (650) 324-4149 Operating Hours: 6 a.m. - 2 p.m.Dispensing Hours: 6 a.m. - 1 p.m. Weekend Operating Hours: 9 a.m. - 10 a.m. Weekend Dispensing Hours:7 a.m. - 10 a.m. Executive Director: *Nadine Robbins-Laurent Medical Director: Emily Cohen, M.D. Program Director: Lillian Fillpot


CADDS # 414195 D/MC # 4195



LAAM: No 2+2: Yes

30 Day TH's: Yes

Page 56


01/03/2019

Santa Barbara

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 115 East Fesler Street City: Santa Maria Zip: 93454 Phone: (805) 922-6597 Fax: (805) 922-5978 Operating Hours: 6 am - 2:30 pmDispensing Hours: 6-10 am, 11 am-1:30 pm Weekend Operating Hours: 6 a.m. - 2:30 p.m.Weekend Dispensing Hours:6-10 am, 11 am-1;30 pm Executive Director: *Alexander Dodd Medical Director: Dane Howalt, M.D. Program Director: Jeffery Curtis


CADDS # 424211 D/MC # 4269



LAAM: No 2+2: Yes

30 Day TH's: No

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 4129 State Street, Suites B, D, E, & F City: Santa Barbara Zip: 93110 Phone: (805) 964-4795 Fax: (805) 683-3027 Operating Hours: 6 a.m. - 2:30 p.m.Dispensing Hours: 6 a.m.- 1:30 p.m. (Lunch 10-11a Weekend Operating Hours: 6 a.m. - 9 a.m. Weekend Dispensing Hours:6 a.m. - 9: a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Rachel McDuffe, PsyD


CADDS # 424209 D/MC # 4272



LAAM: No 2+2: Yes

30 Day TH's: No

Page 57


01/03/2019

Santa Clara

Licensee:Santa Clara County Department of Alcohol and Drug Services DBA: N/A Address: 2425 Enborg Lane City: San Jose Zip: 95128 Phone: (408) 885-5400 Fax: (408) 885-4055 Operating Hours: 6:00 a.m. - 4:00 p.m.Dispensing Hours: 6:00 a.m. - 11:00 a.m. Weekend Operating Hours:Weekend Dispensing Hours:7:00 a.m. - 11:00 a.m. Executive Director: *Bruce Copley Medical Director: Ali Alkoraishi, M.D. Program Director: Mira Parwiz, MPA


CADDS # 434397 D/MC # 4397



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Santa Clara County DBA: N/A Address: 150 West Hedding Street City: San Jose Zip: 95110 Phone: (408) 885-5400 Fax: (408) 885-4055 Operating Hours: 24 hours/dayDispensing Hours: 24 hours/day Weekend Operating Hours: 24 hours/dayWeekend Dispensing Hours:24 hours/dayExecutive Director: *Bruce Copley Medical Director: Ali Alkoraishi, M.D. Program Director: Mira Parwiz, MPA

License # 43-01M OTP CA10, 188M

CADDS # D434399 D/MC # 0000



LAAM: No 2+2: No

30 Day TH's: No

Licensee:Santa Clara County Department of Alcohol and Drug Services DBA: South County Clinic Address: 90 Highland Avenue City: San Martin Zip: 95046 Phone: (408) 852-2420 Fax: (408) 683-0697 Operating Hours: 6:00 a.m. - 2:30 p.m.Dispensing Hours: 6:00 a.m. - 11:00 a.m. Weekend Operating Hours:Weekend Dispensing Hours:7:00 a.m. - 9:00 a.m. Executive Director: *Bruce Copley Medical Director: Ali Alkoraishi, M.D. Program Director: Mira Parwiz


CADDS # 434394 D/MC # 4394



LAAM: No 2+2: Yes

30 Day TH's: Yes

Page 58


01/03/2019

Santa Clara

Licensee:Santa Clara County Department of Alcohol and Drug Services DBA: Alexian Health Clinic Address: 2101 Alexian Drive, Suites A & B City: San Jose Zip: 95116 Phone: (408) 885-5400 Fax: (408) 885-4055 Operating Hours: 6:00 a.m. - 2:30 p.m.Dispensing Hours: 6:00 a.m. - 11:00 a.m.Weekend Operating Hours: N/AWeekend Dispensing Hours:7:00 a.m. - 9:00 a.m.Executive Director: *Bruce Copley Medical Director: Ali Alkoraishi, M.D. Program Director: Mira Parwiz, MPA


CADDS # 434371 D/MC # 4371


Tax Status: Public



Page 59


01/03/2019

Santa Cruz

Licensee:Janus of Santa Cruz DBA: Janus Community Clinic Address: 1000-A, 1010-C Emeline Avenue City: Santa Cruz Zip: 95060 Phone: (831) 425-0112 Fax: (831) 425-1847 Operating Hours: 5:30 a.m. - 2:00 p.m.Dispensing Hours: 5:30 a.m. - 12:30 p.m. Weekend Operating Hours: 6:30 a.m. - 11:00 a.m. Weekend Dispensing Hours:6:30 a.m. - 11:00 a.m. Executive Director: Rudy Escalante, CEO Medical Director: William Morris, M.D. Program Director: Mark Stanford, Ph.D.


CADDS # 444460 D/MC # 44AB





Licensee:Janus of Santa Cruz DBA: Janus South County Address: 284 Pennsylvania Drive, Suite 1 & 2 City: Watsonville Zip: 95076 Phone: (831) 319-4200 Fax: (831) 319-4204 Operating Hours: 5:00 a.m. - 1:00 p.m.Dispensing Hours: 5:00 a.m. - 10:00 a.m. Weekend Operating Hours: 6:00 a.m. - 9:30 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: *Rudy Escalante, CEO Medical Director: Nancy Krauss, M.D. Program Director: Mark Stanford, Ph.D.


CADDS # XXXXXX D/MC # 44AC





Page 60


01/03/2019

Solano

Licensee:MedMark Treatment Centers - Fairfield, Inc. DBA: N/A Address: 1143 Missouri Street City: Fairfield Zip: 94533 Phone: (707) 435-9911 Fax: (707) 435-0704 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5 a.m.- 1 p.m.(Lunch 10:30-11 a Weekend Operating Hours: 7:00 a.m. - 10:30 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:30 a.m. Executive Director: *David K. White, Ph.D. Medical Director: Gilbert Greene, D.O. Program Director: Rajwant Lally


CADDS # 484806 D/MC # 48AA



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Successful Alternatives For Addiction & Counseling Services, Inc. DBA: MedMark Treatment Centers - Vallejo Address: 1628 N. Broadway Street, Suites A & B City: Vallejo Zip: 94590 Phone: (707) 649-8300 Fax: (707) 649-8302 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5 - 9 a.m.; W 9:30 a.m. - 1 p.m. Weekend Operating Hours: 7:00 a.m. - 10:30 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:30 a.m. Executive Director: *David K. White, Ph.D. Medical Director: Sheldon Glass, M.D. Program Director: Katy Wengrofsky


CADDS # 484826 D/MC # 4826



LAAM: No 2+2: Yes

30 Day TH's: Yes

Page 61


01/03/2019

Sonoma

Licensee:Santa Rosa Treatment Program, Inc. DBA: N/A Address: 1901 Cleveland Avenue, Suite B City: Santa Rosa Zip: 95401 Phone: (707) 576-0818 Fax: (707) 576-7845 Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6:00 a.m. - 11:00 a.m. Weekend Operating Hours: 7:00 a.m. - 11:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 10:00 a.m. Executive Director: *Lee Tillman Medical Director: Daniel S. Calder, M.D. Program Director: Lee Tillman


CADDS # 494950 D/MC # 49AC



LAAM: Yes 2+2: Yes

30 Day TH's: Yes

Licensee:Drug Abuse Alternatives Center DBA: Redwood Empire Addiction Program Address: 2403 Professional Drive, Suite 103 City: Santa Rosa Zip: 95403 Phone: (707) 526-2999 Fax: (707) 526-0527 Operating Hours: 6:00 a.m. - 2:30 p.m.Dispensing Hours: 6:00 a.m. - 10:00 a.m. Weekend Operating Hours: 6:00 a.m. - 2:30 p.m.Weekend Dispensing Hours:7:00 a.m. - 10:00 a.m. Executive Director: *John Challis Medical Director: Russell L. Sandberg, M.D. Program Director: Susan Hertel


CADDS # 494909 D/MC # 4909





Page 62


01/03/2019

Stanislaus

Licensee:Stanislaus County DBA: Genesis Narcotic Treatment Program Address: 800 Scenic Drive, Building 4 City: Modesto Zip: 95350 Phone: (209) 525-6146 Fax: (209) 558-4319 Operating Hours: M-Th 6:30am-3pm; F 6:30am-12Dispensing Hours: 6:30 a.m. - 10:30 a.m. Weekend Operating Hours: 8:00 a.m. - 10:45 a.m. Weekend Dispensing Hours:8:00 a.m. - 10:45 a.m. Executive Director: Rick DeGette Medical Director: Michael Gorman, M.D. Program Director: Dawn Vercelli


CADDS # 505014 D/MC # 5014



LAAM: No 2+2: Yes

30 Day TH's: No

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 1235 McHenry Avenue, Suites A & B City: Modesto Zip: 95354 Phone: (209) 527-4597 Fax: (209) 527-4599 Operating Hours: 5:30 a.m. - 7:00 p.m.Dispensing Hours: 5:30 a.m. - 6:00 p.m. Weekend Operating Hours: 7:00 a.m. - 11:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 11:00 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Pecy Howard


CADDS # 505021 D/MC # 5008



LAAM: No 2+2: Yes

30 Day TH's: No

Page 63


01/03/2019

Sutter

Licensee:Aegis Treatment Centers, LLC - Medication Unit DBA: N/A Address: 109 Margaret Lane City: Grass Valley Zip: 95945 Phone: 530-863-8798 Fax: 530-477-7035 Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5:00 am - 12:30 pmWeekend Operating Hours: 5:00 am - 9:30 am Weekend Dispensing Hours:5:00 am - 9:30 am Executive Director: Alexander Dodd Medical Director: Lois Jensen Program Director: Nicole Marie Kloncz

License # 51-05MU1 OTP CA10, 289M

CADDS # XXX D/MC # XXX


Tax Status: Profit


2+2: Y 30 Day TH's: No

Page 64


01/03/2019

Sutter-Yuba

Licensee:American Addiction Treatment Services, Inc DBA: N/A Address: 1496-1498 North Beale Road City: Marysville Zip: 95901 Phone: (530) 749-8640 Fax: (530) 749-8646 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5:00 a.m. - 1:00 p.m.Weekend Operating Hours: 6:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: *Seanjay R. Sharma Medical Director: Catherine Sanders, M.D. Program Director: Michael Peart


CADDS # 585802 D/MC # 58AC


Tax Status: Profit



Page 65


01/03/2019

Sutter/Yuba

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 201 D Street, Suite G City: Marysville Zip: 95901 Phone: (530) 742-7747 Fax: (530) 742-7642 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5-9 am;10 am-12:30pm(Lunch 9Weekend Operating Hours: 7:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:7:00 a.m. - 9:00 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Nicole Kloncz


CADDS # 585899 D/MC # 58AD


Tax Status: Profit



Page 66


01/03/2019

Tulare

Licensee:Kings View DBA: N/A Address: 559 East Bardsley Avenue City: Tulare Zip: 93274 Phone: (559) 688-7531 Fax: (559) 688-3509 Operating Hours: 5:30 a.m. - 2:00 p.m.Dispensing Hours: 5:30 am-1pm(Lunch 9:50-10:30 Weekend Operating Hours: Closed Weekend Dispensing Hours:7am - 10am (9:30am on Holiday Executive Director: Darrell Hamilton Medical Director: Saqib Rashid, M.D. Program Director: Cindy Gonzales


CADDS # 545476 D/MC # 5476





Licensee:Addiction Research and Treatment, Inc. DBA: Bay Area Addiction Research and Treatment Address: 1646 South Court Street City: Visalia Zip: 93277 Phone: (559) 625-8890 Fax: (559) 733-5053 Operating Hours: 5:30 a.m. - 2:00 p.m.Dispensing Hours: 5:30 a.m. - 1:30 p.m. Weekend Operating Hours: 6:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:6-9 a.m.; Holidays 6-8 a.m.Executive Director: Nicole Benoit Medical Director: Kyle Moore, M.D. Program Director: Martha Renteria


CADDS # 545439 D/MC # 5439


Tax Status: Profit



Licensee:BAART Behavioral Health Services, Inc. DBA: N/A Address: 1646 South Court Street City: Visalia Zip: 93277 Phone: (559) 625-8890 Fax: (559) 733-5053 Operating Hours: 5:30 a.m. - 2:00 p.m.Dispensing Hours: 5:30 a.m - 1:30 p.m. Weekend Operating Hours: 6:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:6 - 9 a.m.; Holidays 6-8 a.m.Executive Director: Nicole Benoit Medical Director: Kyle Moore, M.D. Program Director: Martha Renteria





LAAM: No 2+2: No

30 Day TH's: No

Page 67


01/03/2019

Tulare

Licensee:Addiction Research and Treatment, Inc. DBA: N/A Address: 89 E Mill Avenue City: Porterville Zip: 93257 Phone: 559-625-8890 Fax: 559-733-5053 Operating Hours: 6:00 a.m. - 1:30 p.m.Dispensing Hours: MTWF 6-10am; 11am-1:30pm; Weekend Operating Hours: 6:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: Nicole Benoit Medical Director: Kyle Moore, M.D. Program Director: Milena Padilla-Nowakowski





LAAM: No 2+2: No

30 Day TH's: No

Licensee:BAART Behavioral Health Services, Inc. DBA: N/A Address: 89 E Mill Avenue City: Porterville Zip: 93257 Phone: 559-625-8890 Fax: 559-733-5053 Operating Hours: 6:00 a.m. - 1:30 p.m.Dispensing Hours: MTWF 6a-10p; 11a-1:30p; Th 6 Weekend Operating Hours: 6:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: Nicole Benoit Medical Director: Kyle Moore, M.D. Program Director: Milena Padilla-Nowakowski





LAAM: No 2+2: No

30 Day TH's: No

Page 68


01/03/2019

Ventura

Licensee:Western Pacific Med-Corp. DBA: N/A Address: 955 East Thompson Boulevard City: Ventura Zip: 93001 Phone: (805) 641-9100 Fax: (805) 641-9040 Operating Hours: 5:15 am- 1:45 pm (Lunch 10:15-Dispensing Hours: 5:15am-12:30pm (Lunch 10:15-1 Weekend Operating Hours: 6:00 a.m. - 9:30 a.m. Weekend Dispensing Hours:6 - 9 a.m. (7-8 a.m. Holidays) Executive Director: *Mark R. Hickman Medical Director: John Korzelius, M.D. Program Director: Sheila Broutis


CADDS # C565613 D/MC # 5613



LAAM: No 2+2: Yes

30 Day TH's: Yes

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 2055 Saviers Road, Suites 9,10,11,12 and 2045 Saviers Road City: Oxnard Zip: 93033 Phone: (805) 483-2253 Fax: (805) 483-2255 Operating Hours: 5:00 a.m. - 6:30 p.m.Dispensing Hours: 5 a.m.-12:30 p.m.;1:30-6:00 p.m Weekend Operating Hours: 6:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Maria Meza


CADDS # 565660 D/MC # 5605



LAAM: No 2+2: Yes

30 Day TH's: No

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 660 East Los Angeles Avenue, Suite B2 City: Simi Valley Zip: 93065 Phone: (805) 522-1844 Fax: (805) 533-5345 Operating Hours: 5 a.m. - 1:30 p.m.Dispensing Hours: 5 - 9 a.m.;10 a.m. - 12:30 p.m. Weekend Operating Hours: 5 a.m. - 9 a.m. Weekend Dispensing Hours:5 a.m. - 9 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Deborah Winters


CADDS # 565665 D/MC # 5606



LAAM: No 2+2: Yes

30 Day TH's: No

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01/03/2019

Ventura

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 625 E Main Street City: Santa Paula Zip: 93060 Phone: (805) 525-4669 Fax: (805) 525-5799 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5:00am - 9:00am; 10am - 12:30p Weekend Operating Hours: 6:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Tamara Lemalu


CADDS # 565607 D/MC # 5603



LAAM: No 2+2: Yes

30 Day TH's: No

Licensee:Aegis Treatment Centers, LLC DBA: N/A Address: 5225 Telegraph Rd., City: Ventura Zip: 93003 Phone: (805) 765-6495 Fax: (805) 765-6490 Operating Hours: 5:00 a.m. - 1:30 p.m.Dispensing Hours: 5:00 am - 9:30 am; 10 am - 12:30 Weekend Operating Hours: 6:00 a.m. - 9:00 a.m. Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m. Executive Director: *Alexander Dodd Medical Director: Lyn Raible, M.D. Program Director: Anne Calica


CADDS # XXXXXX D/MC # XXXX



LAAM: No 2+2: Yes

30 Day TH's: Yes

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Documents

Narcotic Treatment Program Directory€¦ · State of California Narcotic Treatment Program Directory . 01/03/2019 . Butte . Licensee: Aegis Treatment Centers, LLC . DBA: N/A Address: