Narcotic Treatment Program Directory · State of California Narcotic Treatment Program Directory 12/30/2014. Alameda. Licensee:The West Oakland Health Council DBA: N/A Address: 700

State of CaliforniaNarcotic Treatment Program Directory

12/30/2014

Alameda

Licensee:The West Oakland Health CouncilDBA: N/AAddress: 700 Adeline StreetCity: Oakland Zip: 94607Phone: (510) 302-3741Fax: (510) 433-1514Operating 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: *Robert Cooper, M.D.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: Yes30 Day TH's: No

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


CADDS # D010167D/MC # 0167




2+2: Yes30 Day TH's: Yes

Licensee:Berkeley Addiction Treatment ServicesDBA: N/AAddress: 2975 Sacramento StreetCity: Berkeley Zip: 94702Phone: (510) 644-0200Fax: (510) 644-2044Operating Hours: 5:30 a.m.-12:45 p.m.Dispensing Hours: 5:30 a.m. - 10:30 a.m.Weekend Operating Hours: 5:30am-9:00amWeekend Dispensing Hours:5:30am-9:00amExecutive Director: *Matonia WilliamsMedical Director: Frank Stagger Jr., M.D.Program Director: Frank Stagger Jr.


CADDS # D010181D/MC # 0181





Page 1


12/30/2014

Alameda

Licensee:Corizon Health, Inc.DBA: N/AAddress: 5325 Broder BoulevardCity: Dublin Zip: 94568Phone: (925) 551-6700Fax: (925) 803-7207Operating Hours: 24 hours/dayDispensing Hours: 4:00 am - 6:00 amWeekend Operating Hours: 24 hours/dayWeekend Dispensing Hours:4:00 am - 6:00 amExecutive Director: *Andrea WilliamsMedical Director: Maria Luisita Magat, M.D.Program Director: Lenore Gilbert


CADDS # D010142D/MC # 0000


Tax Status: profit


2+2: No30 Day TH's: No

Licensee:Humanistic Alternatives to Addiction Research and Treatment, Inc.DBA: N/AAddress: 20094 Mission BoulevardCity: Hayward Zip: 94541Phone: (510)727-9755Fax: (510)727-9761Operating Hours: 5:30 am - 2:00 pmDispensing Hours: 6:00a-9:00a, 10:00a-12:00pWeekend Operating Hours: 7:00 am - 10:00 amWeekend Dispensing Hours:7:30 am - 9:30 amExecutive Director: *Christopher Sobky, MFTMedical Director: Mike Martinez, M.D.Program Director: Christopher Sobky, MFT


CADDS # D018104D/MC # 8104




2+2: No30 Day TH's: Yes

Licensee:Addiction Research and Treatment, Inc.DBA: N/AAddress: 1124 International BoulevardCity: Oakland Zip: 94606Phone: (510) 533-0800Fax: (510) 533-0300Operating Hours: 6:00 am - 2:00 pmDispensing Hours: MTWF 6am-1pm TH 6am-12pmWeekend Operating Hours: 6:45a - 10:45aWeekend Dispensing Hours:Sat, Sun, Holidays 7 - 10:30 amExecutive Director: *Evan Kletter, Ph.D.Medical Director: Christopher Alexander, MDProgram Director: Veronica King


CADDS # 010198D/MC # 01AG


Tax Status: profit


2+2: yes30 Day TH's: Yes

Page 2


12/30/2014

Alameda

Licensee:BAART Behavioral Health Services, Inc.DBA: N/AAddress: 1124 International BoulevardCity: Oakland Zip: 94606Phone: (510) 533-0800Fax: (510) 533-0300Operating Hours: 6:00 am - 2:00 pmDispensing Hours: MTWF 6am-1pm TH 6am-12pmWeekend Operating Hours: 6:45 a - 10:45 aWeekend Dispensing Hours:Sat, Sun, Holidays 7-10:30amExecutive Director: *Evan Kletter, Ph.D.Medical Director: Christopher Alexander, M. D.Program Director: Veronica King


CADDS # 018116D/MC # 8116


Tax Status: profit


2+2: yes30 Day TH's: Yes

Licensee:Successful Alternatives For Addiction & Counseling Services, Inc.DBA: MedMark Treatment Centers - HaywardAddress: 795 Fletcher LaneCity: Hayward Zip: 94544Phone: (510) 247-8300Fax: (510) 247-8295Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5:00 am-1:00 pmWeekend Operating Hours: 7:00 am - 9:30 amWeekend Dispensing Hours:7:00 am - 9:30 amExecutive Director: *David K. White, Ph.D.Medical Director: Gilbert Greene, D.O.Program Director: Ginned Williams


CADDS # 018108D/MC # 8108

Original License Date: 05/14/2009Entity: Corporation

Tax Status: Profit



Licensee:Lifeline Treatment Services, Inc.DBA: N/AAddress: 9442/9500 International BoulevardCity: Oakland Zip: 94603Phone: (510) 777-8448Fax: (510) 777-8453Operating Hours: 5:45 am - 2:30 pmDispensing Hours: 6 am - 1:30 pmWeekend Operating Hours: 8:00 am - 10:15 amWeekend Dispensing Hours:8:00 am - 10:15 amExecutive Director: *Stan Sharma, Ph.D.Medical Director: Catherine Sanders, M.D.Program Director: Isaac Burns


CADDS # 010196D/MC # 01AI


Tax Status: Profit


2+2: Y30 Day TH's: Yes

Page 3


12/30/2014

Butte

Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 584, 588 and 590 Rio Lindo AvenueCity: Chico Zip: 95926Phone: (530) 345-3491Fax: (530) 345-0261Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5a-9a, 10a-12pWeekend Operating Hours: 6:00 am - 10:00 amWeekend Dispensing Hours:6:00 am - 10:00 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Judson Lea


CADDS # 040499D/MC # 0498

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

Tax Status: Profit



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12/30/2014

Contra Costa

Licensee:Addiction Research and Treatment, Inc.DBA: Bay Area Addiction Research and TreatmentAddress: 3707 Sunset LaneCity: Antioch Zip: 94509Phone: (925)522-0124Fax: (925)522-0133Operating Hours: 6:00 am - 2:00 pmDispensing Hours: MWTHF 6AM-1PM T 6AM-12PWeekend Operating Hours: 7:00 am - 11 amWeekend Dispensing Hours:7:00 am - 10:30 amExecutive Director: *Evan Kletter, Ph.D.Medical Director: William Quismoro, M.D.Program Director: Stephen Sooter


CADDS # D070709D/MC # 07AD


Tax Status: profit

Total Slots: 750LAAM: Yes


Licensee:BAART Behavioral Health Services, Inc.DBA: N/AAddress: 3707 Sunset LaneCity: Antioch Zip: 94509Phone: (925)522-0124Fax: (925)522-0133Operating Hours: 6:00 am - 2:00 pmDispensing Hours: MWTHF 6AM-1PM T 6AM-12PWeekend Operating Hours: 7:00 am - 11 amWeekend Dispensing Hours:7:00 am - 10:30 amExecutive Director: *Evan Kletter, Ph.D.Medical Director: William Quismoro, M.D.Program Director: Stephen Sooter

License # 07-07DOTP CA10, 245M

CADDS # 070739D/MC # 0739


Tax Status: profit



Licensee:Addiction Research and Treatment, Inc.DBA: Bay Area Addiction Research and TreatmentAddress: 1313 Cutting BoulevardCity: Richmond Zip: 94804Phone: (510) 232-0874Fax: (510) 232-8652Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6:00am-10:00am,11:00am-2:00pWeekend Operating Hours: 6:45 am - 10:45 amWeekend Dispensing Hours:7:00 am - 10:00 amExecutive Director: *Evan Kletter, Ph.D.Medical Director: Kyle Moore, M.D.Program Director: Ulrika Williams


CADDS # D070708D/MC # 07AC


Tax Status: profit



Page 5


12/30/2014

Contra Costa

Licensee:BAART Behavioral Health Services, Inc.DBA: N/AAddress: 1313 Cutting BoulevardCity: Richmond Zip: 94804Phone: (510)232-0874Fax: (510)232-8652Operating Hours: 6:00 am - 2:00 pmDispensing Hours: 6:00am-10:00am,11:00am-2:00pWeekend Operating Hours: 6:45 am - 10:45 amWeekend Dispensing Hours:7:00 am - 10:00 amExecutive Director: *Evan Kletter, Ph.D.Medical Director: Kyle Moore, M.D.Program Director: Ulrika Williams


CADDS # 070751D/MC # 0000


Tax Status: profit



Page 6


12/30/2014

Fresno

Licensee:Addiction Research and Treatment, Inc.DBA: Bay Area Addiction Research and TreatmentAddress: 539 North Van Ness AvenueCity: Fresno Zip: 93728Phone: (559) 266-9581Fax: (559) 498-0507Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: MTWF 6AM-11AM 12-130PM Weekend Operating Hours: 6:00 am - 10:00 amWeekend Dispensing Hours:6:00 am - 10:00 am Holiday 6a-9Executive Director: *Evan Kletter, Ph.D.Medical Director: Farhad Mahjouri, M.D.Program Director: Scott Rathburn


CADDS # D101052D/MC # 10AF


Tax Status: profit



Licensee:BAART Behavioral Health Services, Inc.DBA: N/AAddress: 539 North Van Ness AvenueCity: Fresno Zip: 93728Phone: (559)266-9581Fax: (559)498-0507Operating Hours: 6:00 am - 2:00 pmDispensing Hours: MTWF 6a-11a 12p-1:30p TH 6aWeekend Operating Hours: 6:00 am - 10:00 amWeekend Dispensing Hours:6:00 am - 10:00 am Holday 6a-9Executive Director: *Evan Kletter, Ph.D.Medical Director: Farhad Mahjouri, M.D.Program Director: Scott Rathburn


CADDS # D101090D/MC # 0000


Tax Status: profit



Licensee:Addiction Research and Treatment, Inc.DBA: Bay Area Addiction Research and TreatmentAddress: 1235 E StreetCity: Fresno Zip: 93706Phone: (559)268-6261Fax: (559)268-7518Operating Hours: 5:30 am - 1:30 pmDispensing Hours: MTWF 5:30A-11A 12P-1P TH 5Weekend Operating Hours: 6:00 am - 9:00 amWeekend Dispensing Hours:6:00 am - 9:00 amExecutive Director: *Evan Kletter, Ph.D.Medical Director: Farhad Mahjouri, M.D.Program Director: Sue Ewert


CADDS # D101028D/MC # 10AD


Tax Status: profit



Page 7


12/30/2014

Fresno

Licensee:BAART Behavioral Health Services, Inc.DBA: N/AAddress: 1235 E StreetCity: Fresno Zip: 93706Phone: (559)268-6261Fax: (559)268-7518Operating Hours: 5:30 am - 1:30 pmDispensing Hours: MTWF 5:30A-11A 12P-1P TH 5Weekend Operating Hours: 6:00 am - 9:00 amWeekend Dispensing Hours:6:00 am - 9:00 amExecutive Director: *Evan Kletter, Ph.D.Medical Director: Farhad Mahjouri, M.D.Program Director: Sue Ewert


CADDS # 101088D/MC # 1088


Tax Status: profit



Licensee:Addiction Research and Treatment, Inc.DBA: Bay Area Addiction Research and TreatmentAddress: 3103 East Cartwright AvenueCity: Fresno Zip: 93725Phone: (559)498-7100Fax: (559)498-7111Operating Hours: 5a-1pDispensing Hours: MTWF5a930a 1030a12:30pWeekend Operating Hours: 6a-9aWeekend Dispensing Hours:6:00 am - 9:00 amExecutive Director: *Evan Kletter, Ph.D.Medical Director: Farhad Mahjouri, M.D.Program Director: Sue Ewert


CADDS # 101027D/MC # 10AE


Tax Status: profit



Licensee:BAART Behavioral Health Services, Inc.DBA: N/AAddress: 3103 East Cartwright AvenueCity: Fresno Zip: 93725Phone: (559)498-7100Fax: (559)498-7111Operating Hours: 5a-1pDispensing Hours: 5:30am-11:00am,12:00pm-1:00pWeekend Operating Hours: 6:00 am - 9:00 amWeekend Dispensing Hours:6:00 am - 9:00 amExecutive Director: *Evan Kletter, Ph.D.Medical Director: Farhad Mahjouri, MDProgram Director: Sue Ewert


CADDS # 101089D/MC # 1089


Tax Status: profit



Page 8


12/30/2014

Fresno

Licensee:MedMark Treatment Centers - Fresno West, Inc.DBA: N/AAddress: 1310 M StreetCity: Fresno Zip: 93721Phone: (559) 264-2700Fax: (559) 264-2767Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5:00 am - 1:00 pmWeekend Operating Hours: 7:00 am - 9:30 amWeekend Dispensing Hours:7:00 am - 9:30 amExecutive Director: *David K. White, Ph.D.Medical Director: Gilbert Greene, D.O.Program Director: Bee Vue


CADDS # 101097D/MC # 1097


Tax Status: Profit



Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 3707 E. Shields AvenueCity: Fresno Zip: 93726Phone: (559) 229-9040Fax: (559) 229-9060Operating Hours: 5:00am- 2:00pm M-W 5:00pmDispensing Hours: 5:00am-2:00pm M-W 5:00pmWeekend Operating Hours: 6:00 am - 9:00 amWeekend Dispensing Hours:6:00 am - 9:00amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Jason Crow


CADDS # 101003D/MC # 1033


Tax Status: Profit



Page 9


12/30/2014

Imperial

Licensee:Imperial Valley Medical Clinic, Inc.DBA: N/AAddress: 535 West Cesar Chavez BoulevardCity: Calexico Zip: 92231Phone: (760) 357-6566Fax: (760) 357-0849Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6:00 a.m. - 11:00 a.m.Weekend Operating Hours: ClosedWeekend Dispensing Hours:6:00 a.m. - 9:00 a.m.Executive Director: *Norma Apodaca, MSWMedical Director: Ghassem Bahrambeygui, M.D.Program Director: Norma Apodaca, MSW


CADDS # D131308D/MC # 1308





Licensee:Imperial Valley Medical Clinic, Inc.DBA: Medical Treatment CenterAddress: 680 West Main StreetCity: El Centro Zip: 92243Phone: (760) 482-0864Fax: (760) 482-9185Operating Hours: 6:00 a.m. - 2:00 p.m.Dispensing Hours: 6:00 a.m. - 11:00 a.m.Weekend Operating Hours: closedWeekend Dispensing Hours:6:00 a.m. - 9:00 a.m.Executive Director: *Norma Apodaca, MSWMedical Director: Ghassem Bahrambeygui, M.D.Program Director: Norma Apodaca


CADDS # 131304D/MC # 1304





Page 10


12/30/2014

Kern

Licensee:American Health Services, LLCDBA: Bakersfield Health ServicesAddress: 1010 1/2 South Union AvenueCity: Bakersfield Zip: 93307Phone: (661)321-0234Fax: (661)321-9856Operating Hours: 5:30a - 2:30pDispensing Hours: 5:45a-1pWeekend Operating Hours: 7am - 10amWeekend Dispensing Hours:7:00a - 10:00aExecutive Director: *Stan Sharma, Ph.D.Medical Director: Rodney Stillion, M.D.Program Director: John Barela


CADDS # C151571D/MC # 1571


Tax Status: profit



Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 1018 21st StreetCity: Bakersfield Zip: 93301Phone: (661) 861-9967Fax: (661) 861-0339Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5:00 am - 4:00 pmWeekend Operating Hours: 6:00 am - 9:00 amWeekend Dispensing Hours:6:00 am - 9:00 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Javier Moreno


CADDS # 151506D/MC # 1509


Tax Status: Profit



Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 1019 Jefferson StreetCity: Delano Zip: 93215Phone: (661) 721-0463Fax: (661) 721-0482Operating Hours: 5:30 am - 2:00 pmDispensing Hours: 530a-930a 1030a-1pWeekend Operating Hours: 8:00 am - 9:00 amWeekend Dispensing Hours:8:00 am - 9:00 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Larry Kindred


CADDS # 151525D/MC # 1520


Tax Status: Profit



Page 11


12/30/2014

Kern

Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 501 W. Columbus StreetCity: Bakersfield Zip: 93301Phone: (661) 328-0245Fax: (661) 631-0876Operating Hours: 6:30am - 3:00pmDispensing Hours: 6:30am - 2:00pmWeekend Operating Hours: 8:00am - 10:00amWeekend Dispensing Hours:8:00am - 10:00amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Javier Moreno


CADDS # XXXXXXD/MC # XXXX


Tax Status: Profit



Page 12


12/30/2014

Los Angeles

Licensee:Western Pacific Med-Corp.DBA: N/AAddress: 4544 San Fernando Road, Suite 201City: Glendale Zip: 91204Phone: (818) 240-8843Fax: (818) 240-8885Operating 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. HickmanMedical Director: David Sami, M.D.Program Director: Shirley Poordawood


CADDS # 191949D/MC # 1949


Tax Status: profit



Licensee:Narcotics Prevention Association, Inc.DBA: N/AAddress: 942 South Atlantic Boulevard, Suite 100City: Los Angeles Zip: 90022Phone: (323) 263-9700Fax: (323) 263-8042Operating Hours: 5:00 am - 2:00 pmDispensing Hours: 5:00 am - 12:45 pmWeekend Operating Hours: 6:00 am - 10:00 amWeekend Dispensing Hours:6:00 am - 9:00 amExecutive Director: *Luis MontesMedical Director: Alfonso Paredes, M.D.Program Director: Luis Montes


CADDS # D196902D/MC # 6902





Licensee:Western Health Community ClinicsDBA: N/AAddress: 1647 West Anaheim StreetCity: Harbor City Zip: 90710Phone: (310) 534-5590Fax: (310) 534-5591Operating Hours: 5:30 am - 11:00 amDispensing Hours: 5:30 am - 11:00 amWeekend Operating Hours: 7:00 am - 9:00 amWeekend Dispensing Hours:7:00 am - 9:00 amExecutive Director: *Mintra Sharma WilsonMedical Director: Dennis Sanchez, M.D.Program Director: Sivan Sharma Wilson


CADDS # D191947D/MC # 0000


Tax Status: profit



Page 13


12/30/2014

Los Angeles

Licensee:West County Medical ClinicDBA: N/AAddress: 100 East Market StreetCity: Long Beach Zip: 90805Phone: (562) 428-4222Fax: (562) 428-0372Operating Hours: 5:00am - 1:30pm (lunch 10-11amDispensing Hours: 5am-12:30pm (lunch 10-11am)Weekend Operating Hours: 8 am - 11 amWeekend Dispensing Hours:8:00 am - 11:00 amExecutive Director: *Stan Sharma, Ph.D.Medical Director: Rodney Stillion, M.D.Program Director: Mona Grimmitt


CADDS # D191946D/MC # 1946

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

Tax Status: profit



Licensee:Transcultural Health Development, Inc.DBA: Coastal Recovery CenterAddress: 117 East Harry Bridges BoulevardCity: Wilmington Zip: 90744Phone: (310) 549-8383Fax: (310) 549-9304Operating Hours: 5:00am- 12pm (9:30-10) lunchDispensing Hours: 5:00am-12, TH 5:00am-11:30amWeekend Operating Hours: 6:00 a.m. - 9:00 a.m.Weekend Dispensing Hours:6:00 a.m. - 9:00 a.m.Executive Director: *John PeloquinMedical Director: Steven Ruh, M.D.Program Director: Andrea Adams


CADDS # D197002D/MC # 7002


Tax Status: profit



Licensee:Eldorado Community Service CenterDBA: Inglewood Medical and Mental Health ServicesAddress: 4450 West Century BoulevardCity: Inglewood Zip: 90304Phone: (310) 671-0555Fax: (310) 674-5292Operating Hours: 6:00 a.m. - 2 p.m.Dispensing Hours: 6am-11am 12:00pm-1:30pmWeekend Operating Hours: 8:30 am - 9:30 amWeekend Dispensing Hours:8:30 am - 9:30 amExecutive Director: *Stan Sharma, Ph.D.Medical Director: Rodney Stillion, M.D.Program Director: Brenda Jordan


CADDS # D191958D/MC # 1958





Page 14


12/30/2014

Los Angeles

Licensee:Addiction Research and Treatment, Inc.DBA: Bay Area Addiction Research and TreatmentAddress: 4920 South Avalon BoulevardCity: Los Angeles Zip: 90011Phone: (323) 235-5035Fax: (323) 235-2023Operating Hours: 6:00 am - 2:00 pmDispensing Hours: 6am-10am,11am-1pmWeekend Operating Hours: 8:00 am - 10 amWeekend Dispensing Hours:8:00 am - 10:00 amExecutive Director: *Evan Kletter, Ph.D.Medical Director: David Koroshec, M.D.Program Director: Mahshid M. Reaves


CADDS # 196997D/MC # 69AL


Tax Status: profit



Licensee:BAART Behavioral Health Services, Inc.DBA: N/AAddress: 4920 South Avalon BoulevardCity: Los Angeles Zip: 90011Phone: (323) 235-5035Fax: (323) 235-2023Operating Hours: 6:00 am - 2:00 pmDispensing Hours: 6:00am-10:00am,11:00am-1:00pWeekend Operating Hours: 8:00 am - 10:00 amWeekend Dispensing Hours:8:00 am - 10:00 amExecutive Director: *Evan Kletter, Ph.D.Medical Director: David Koroshec, M.D.Program Director: Mahshid M. Reaves


CADDS # 197311D/MC # 0000


Tax Status: profit



Licensee:Western Pacific Med-Corp.DBA: N/AAddress: 7232 Canby Avenue, Ste. 4,5,6City: Reseda Zip: 91335Phone: (818) 705-5561Fax: (818) 705-8248Operating Hours: 5:45 am - 2:30 pmDispensing Hours: 5:45 am - 1:00 pmWeekend Operating Hours: 5:45 am - 9:45 amWeekend Dispensing Hours:5:45 am - 9:30 amExecutive Director: *Mark R. HickmanMedical Director: Daryoosh Sami, M.D.Program Director: Margaret Molina-Kantor, LPT


CADDS # D191948D/MC # 1948


Tax Status: profit



Page 15


12/30/2014

Los Angeles

Licensee:Western Pacific Med-Corp.DBA: N/AAddress: 9462 Van Nuys BoulevardCity: Panorama City Zip: 91402Phone: (818) 891-8555Fax: (818) 891-8649Operating Hours: 5:45 am - 2:30 pmDispensing Hours: 5:45 am - 12:30 pmWeekend Operating Hours: 5:45 am - 9:45 amWeekend Dispensing Hours:5:45 am - 9:30 amExecutive Director: *Mark R. HickmanMedical Director: Daryoosh Sami, M.D.Program Director: Angeline Veverka, LVN


CADDS # D197000D/MC # 7000


Tax Status: profit



Licensee:Tavarua Health ServicesDBA: N/AAddress: 8207 Whittier BoulevardCity: Pico Rivera Zip: 90660Phone: (562) 695-0737Fax: (562) 695-0413Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5 am - 12 pmWeekend Operating Hours: 7:00am - 9:00 pmWeekend Dispensing Hours:7:00 am - 9:00 amExecutive Director: *Stan Sharma, Ph.D.Medical Director: Rodney Stillion, M.D.Program Director: Margarita Valadez


CADDS # D196984D/MC # 6984


Tax Status: profit



Licensee:Addiction Research and Treatment, Inc.DBA: Bay Area Addiction Research and TreatmentAddress: 15229 East Amar RoadCity: La Puente Zip: 91744Phone: (626) 855-5090Fax: (626) 961-1810Operating Hours: 5:30 am 10am, 11am- 1:30 pmDispensing Hours: 5:30am-10am,11am-12:30pmWeekend Operating Hours: 6:00 am - 9:30 amWeekend Dispensing Hours:6:00 am - 9:30 amExecutive Director: *Evan Kletter, Ph.D.Medical Director: Kantilal Patel, M.D.Program Director: Daniza Orellana


CADDS # D196912D/MC # 69AJ


Tax Status: profit



Page 16


12/30/2014

Los Angeles

Licensee:BAART Behavioral Health Services, Inc.DBA: N/AAddress: 15229 East Amar RoadCity: La Puente Zip: 91744Phone: (626) 855-5090Fax: (626) 961-1810Operating Hours: 5:30am-10am, 11am-1:30pmDispensing Hours: 5:30 am - 10:00 am,11:00 am-12Weekend Operating Hours: 6:00 am - 9:30 amWeekend Dispensing Hours:6:00 am - 9:30 amExecutive Director: *Evan Kletter, Ph.D.Medical Director: Kantilal Patel, M.D.Program Director: Daniza Orellana


CADDS # 197310D/MC # 69AJ


Tax Status: profit



Licensee:Western Pacific Med-Corp.DBA: N/AAddress: 11902 Rosecrans BoulevardCity: Norwalk Zip: 90650Phone: (562) 929-7188Fax: (562) 929-7575Operating Hours: 5:00 am - 1:45 pmDispensing Hours: 5:00 am - 12:00 pm (9:45-10:30)Weekend Operating Hours: 5:00 am - 9:00 amWeekend Dispensing Hours:5:00 am - 8:30 amExecutive Director: *Mark R. HickmanMedical Director: Raaga Iskarous, M.D.Program Director: Mona Taylor


CADDS # D191968D/MC # 1968


Tax Status: profit



Licensee:Addiction Research and Treatment, Inc.DBA: Bay Area Addiction Research and TreatmentAddress: 1926 West Beverly BoulevardCity: Los Angeles Zip: 90057Phone: (213) 353-1140Fax: (213) 353-1151Operating Hours: 5:30 am - 1:30 pmDispensing Hours: 5:30am-10am,11am-12:30pmWeekend Operating Hours: 7:00 am - 10:00 amWeekend Dispensing Hours:7:00 am - 9:45 amExecutive Director: *Evan Kletter, Ph.D.Medical Director: David Koroshec, M.D.Program Director: Louie Morales


CADDS # 196916D/MC # 69AK


Tax Status: profit



Page 17


12/30/2014

Los Angeles

Licensee:BAART Behavioral Health Services, Inc.DBA: N/AAddress: 1926 West Beverly BoulevardCity: Los Angeles Zip: 90057Phone: (213) 353-1140Fax: (213) 353-1151Operating Hours: 5:30 am - 1:30 pmDispensing Hours: 5:30 am - 12:30 amWeekend Operating Hours: 7:00 am - 10:00 amWeekend Dispensing Hours:7:00 am - 9:45 amExecutive Director: *Evan Kletter, Ph.D.Medical Director: David Koroshec, M.D.Program Director: Louie Morales


CADDS # 197302D/MC # 7302


Tax Status: profit



Licensee:Western Pacific Med-Corp.DBA: N/AAddress: 45335 North Sierra HighwayCity: Lancaster Zip: 93534Phone: (661) 949-8599Fax: (661) 723-3179Operating Hours: 5:45 am - 2:30 pmDispensing Hours: 5:45 am - 1:00 pmWeekend Operating Hours: 5:45 am - 9:45 amWeekend Dispensing Hours:5:45 am - 9:30 amExecutive Director: *Mark R. HickmanMedical Director: Brit Smith, M.D.Program Director: Shonda Celestine


CADDS # D191980D/MC # 1980


Tax Status: profit



Licensee:Western Pacific RE-HABDBA: N/AAddress: 9462 Van Nuys BoulevardCity: Panorama Zip: 91402Phone: (818) 891-8555Fax: (818) 891-8649Operating Hours: 5:45 am - 2:30 pmDispensing Hours: 5:45 am - 1:00 pmWeekend Operating Hours: 5:45 am 9:45 amWeekend Dispensing Hours:5:45 am - 9:30 amExecutive Director: *Mark R. HickmanMedical Director: Daryoosh Sami, M.D.Program Director: Angeline Veverka, LVN


CADDS # D197000D/MC # 7000





Page 18


12/30/2014

Los Angeles

Licensee:Western Pacific RE-HABDBA: N/AAddress: 45335 North Sierra HighwayCity: Lancaster Zip: 93534Phone: (661) 949-8599Fax: (661) 723-3179Operating Hours: 5:45 am - 2:30 pmDispensing Hours: 5:45 am - 1:00 pmWeekend Operating Hours: 5:45 am - 9:45 amWeekend Dispensing Hours:5:45 am - 9:30 amExecutive Director: *Mark R. HickmanMedical Director: Brit Smith, M.D.Program Director: Shonda Celestine


CADDS # D191980D/MC # 1980





Licensee:Western Pacific RE-HABDBA: N/AAddress: 7232 Canby Avenue, Ste. 4, 5, 6City: Reseda Zip: 91335Phone: (818) 705-5561Fax: (818) 705-8248Operating Hours: 5:45 am - 2:30 pmDispensing Hours: 5:45 am - 1:00 pmWeekend Operating Hours: 5:45 am - 9:45 amWeekend Dispensing Hours:5:45 am - 9:30 amExecutive Director: *Mark R. HickmanMedical Director: Daryoosh Sami, M.D.Program Director: Margaret Molina-Kantor, LPT


CADDS # D191948D/MC # 1948





Licensee:Western Pacific RE-HABDBA: N/AAddress: 11902 Rosecrans BoulevardCity: Norwalk Zip: 90650Phone: (562) 929-7188Fax: (562) 929-7575Operating Hours: 5:00 am - 1:45 pmDispensing Hours: 5:00 am - 12:00 pmWeekend Operating Hours: 5:00 am - 9:00 amWeekend Dispensing Hours:5:00 am - 8:30 amExecutive Director: *Mark R. HickmanMedical Director: Raaga Iskarous, M.D.Program Director: Mona Taylor


CADDS # D191968D/MC # 1968





Page 19


12/30/2014

Los Angeles

Licensee:Western Pacific RE-HABDBA: N/AAddress: 4544 San Fernando Road, Suite 201City: Glendale Zip: 91204Phone: (818) 240-8843Fax: (818) 240-8885Operating Hours: 5:45 am - 2:30 pmDispensing Hours: 5:45 am - 1:00 pmWeekend Operating Hours: 5:45 am - 9:45 amWeekend Dispensing Hours:5:45 am - 9:30 amExecutive Director: *Mark R. HickmanMedical Director: David Sami, M.D.Program Director: Shirley Poordawood


CADDS # 191949D/MC # 1949





Licensee:Tavarua Medical Rehabilitation ServicesDBA: Azusa Medical and Mental Health ServicesAddress: 474 S. Citrus AvenueCity: Azusa Zip: 91702Phone: (626) 858-9500Fax: (626) 858-9090Operating Hours: 5:30 am - 2:00 pmDispensing Hours: 5:30 am - 1:00 pm (10:30-11:20)Weekend Operating Hours: 7:00 am - 9:00 amWeekend Dispensing Hours:7:00 am - 9:00 amExecutive Director: *Stan Sharma, Ph.D.Medical Director: Rodney Stillion, M.D.Program Director: Martha Baca


CADDS # 196984D/MC # 19CQ





Licensee:West County Medical CorporationDBA: N/AAddress: 2272 Pacific Avenue, Suite ACity: Long Beach Zip: 90806Phone: (562) 427-8018Fax: (562) 427-8130Operating Hours: 6:00 am - 2:30 pmDispensing Hours: 6:00 am - 1:30 pmWeekend Operating Hours: 7:00 am - 9:00 amWeekend Dispensing Hours:7:00 am - 9:00 amExecutive Director: *Stan Sharma, Ph.D.Medical Director: Rodney Stillion, M.D.Program Director: Mignon Bell


CADDS # 197360D/MC # 7360





Page 20


12/30/2014

Los Angeles

Licensee:AltaMed Health Services CorporationDBA: N/AAddress: 1701 Zonal AvenueCity: Los Angeles Zip: 90033Phone: (323) 223-6146Fax: (323) 223-6399Operating Hours: 5:30 am - 5:00 pmDispensing Hours: 5:30 am- 11:00 amWeekend Operating Hours: 6:00 am - 9:00 amWeekend Dispensing Hours:6:00 am - 9:00 amExecutive Director: *Castulo De la RochaMedical Director: Ricardo Puertas, M.D., CMOProgram Director: Jaime Fernandez, Interim


CADDS # D196983D/MC # 6983





Licensee:Matrix Institute on AddictionsDBA: N/AAddress: 5220 West Washington Boulevard, Suite 101City: Los Angeles Zip: 90016Phone: (323) 933-9186Fax: (323) 933-7146Operating Hours: M-F 5am-11am 12pm-2pmDispensing Hours: 5am - 2pm (lunch 11am-noon)Weekend Operating Hours: 7:00 a.m. - 10:00 a.m.Weekend Dispensing Hours:7:00 a.m. - 9:00 a.m.Executive Director: *Jeremy Martinez, MDMedical Director: Scott C. Fears, M.D., Ph.D.Program Director: Sarah Webster, RAS


CADDS # D191977D/MC # 1977





Licensee:The PaJo CorporationDBA: Tri City InstituteAddress: 2080 Century Park East, Suite 1210City: Century City Zip: 90067Phone: (310) 553-9500Fax: (310) 553-7247Operating Hours: 7:00 am - 3:00 pmDispensing Hours: 7:00 am - 12:00 pmWeekend Operating Hours: 10am - 11am and by app'tWeekend Dispensing Hours:10am - 11am and by app'tExecutive Director: *Carolyn A. Perry, PAMedical Director: Jack Azad, M.D.Program Director: Carolyn A. Perry, PA


CADDS # C196969D/MC # 6969


Tax Status: profit



Page 21


12/30/2014

Los Angeles

Licensee:Eldorado Community Service CenterDBA: Lawndale Medical and Mental Health ServicesAddress: 4023 Marine AvenueCity: Lawndale Zip: 90260Phone: (310) 675-9555Fax: (310) 263-1909Operating Hours: 6:00 a.m. - 2:30 p.m.Dispensing Hours: 6am -1:30pmWeekend Operating Hours: 6:45a - 8:15aWeekend Dispensing Hours:7:00 am - 8:00 amExecutive Director: *Stan Sharma, Ph.D.Medical Director: Rodney Stillion, M.D.Program Director: Brenda Johnson


CADDS # C196713D/MC # 6713





Licensee:Eldorado Community Service CenterDBA: Santa Clarita Medical and Mental Health ServicesAddress: 24625 Arch StreetCity: Newhall Zip: 91321Phone: (661) 288-2644Fax: (661) 288-2669Operating Hours: 6:00 am - 2:30 pmDispensing Hours: 6am - 1:30pmWeekend Operating Hours: 7:30am - 8:30amWeekend Dispensing Hours:7:30 am - 8:30 amExecutive Director: *Stan Sharma, Ph.D.Medical Director: Rodney Stillion, M.D.Program Director: Donna Schaller


CADDS # C196714D/MC # 6714





Licensee:Western Pacific Med-Corp.DBA: N/AAddress: 14332 Victory BoulevardCity: Van Nuys Zip: 91401Phone: (818) 989-1996Fax: (818) 989-8056Operating Hours: 5:45 am - 2:30 pmDispensing Hours: 5:45am-9:30am, 10:15am-1pWeekend Operating Hours: 5:45 am - 9:45 amWeekend Dispensing Hours:5:45 am - 9:30 amExecutive Director: *Mark R. HickmanMedical Director: David Sami, M.D.Program Director: Arthur Poordawood


CADDS # C196805D/MC # 6805


Tax Status: profit



Page 22


12/30/2014

Los Angeles

Licensee:Western Pacific Med-Corp.DBA: N/AAddress: 11321 Camarillo StreetCity: North Hollywood Zip: 91602Phone: (818) 506-4455Fax: (818) 506-5185Operating Hours: 5:45 am - 2:30 pmDispensing Hours: 5:45 am - 1:00 pmWeekend Operating Hours: 5:45 am - 9:45 amWeekend Dispensing Hours:5:45 am - 9:30 amExecutive Director: *Mark R. HickmanMedical Director: David Sami, M.D.Program Director: Michelle Blalock


CADDS # C191902D/MC # 1902


Tax Status: profit



Licensee:American Health Services, LLCDBA: Hollywood Medical and Mental Health ServicesAddress: 5015 Pico BoulevardCity: Los Angeles Zip: 90019Phone: (323) 653-1677Fax: (323) 936-9435Operating Hours: 6:00 am - 2:30 pmDispensing Hours: 6am-1:30pmWeekend Operating Hours: 8:30 am - 9:30 amWeekend Dispensing Hours:8:30 am - 9:30 amExecutive Director: *Stan Sharma, Ph.D.Medical Director: Rodney Stillion, M.D.Program Director: Stephanie Chism


CADDS # C196734D/MC # 6734


Tax Status: profit



Licensee:American Health Services, LLCDBA: Palmdale Medical and Mental Health ServicesAddress: 2720 East Palmdale Boulevard, Suite 129City: Palmdale Zip: 93550Phone: (661) 947-3333Fax: (661) 575-2397Operating Hours: 6:00 am - 2:30 pmDispensing Hours: 6am - 1:30pmWeekend Operating Hours: 9 am-10 amWeekend Dispensing Hours:9:00 am - 10:00 amExecutive Director: *Stan Sharma, Ph.D.Medical Director: Rodney Stillion, M.D.Program Director: Valarie Gordon


CADDS # C196905D/MC # 6905


Tax Status: profit



Page 23


12/30/2014

Los Angeles

Licensee:American Health Services, LLCDBA: Venice Medical and Mental Health ServicesAddress: 717 Lincoln BoulevardCity: Venice Zip: 90291Phone: (310) 399-9883Fax: (310) 399-9678Operating Hours: 6:00 am - 2:30 pmDispensing Hours: 6am - 1:30pmWeekend Operating Hours: 9:30 am - 11:00 amWeekend Dispensing Hours:9:30 am - 11:00 amExecutive Director: *Stan Sharma, Ph.D.Medical Director: Rodney Stillion, M.D.Program Director: Syveeda Watson


CADDS # C196918D/MC # 6737


Tax Status: profit



Licensee:American Health Services, LLCDBA: Van Nuys Medical and Mental Health ServicesAddress: 6265 Sepulveda Boulevard, Suite 9City: Van Nuys Zip: 91411Phone: (818) 779-0555Fax: (818) 779-0455Operating 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: *Stan Sharma, Ph.D.Medical Director: Rodney Stillion, M.D.Program Director: Ramona Fluellen


CADDS # C196803D/MC # 1990


Tax Status: profit



Licensee:American Health Services, LLCDBA: N/AAddress: 21505 Norwalk BoulevardCity: Hawaiian Gardens Zip: 90716Phone: (562) 916-7581Fax: (562) 916-7592Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5:00 am - 12:30 pm (10-11 luncWeekend Operating Hours: 8:30 am - 9:30 amWeekend Dispensing Hours:8:30 am - 9:30 amExecutive Director: *Stan Sharma, Ph.D.Medical Director: Rodney Stillion, M.D.Program Director: Blanca Romero


CADDS # 196789D/MC # 6789


Tax Status: profit



Page 24


12/30/2014

Los Angeles

Licensee:Addiction Research and Treatment, Inc.DBA: Bay Area Addiction Research and TreatmentAddress: 11315 South Atlantic BoulevardCity: Lynwood Zip: 90262Phone: (310) 537-5883Fax: (310) 537-5587Operating Hours: 5:30 am - 1:30 pmDispensing Hours: 5:30am-10am;11am-12:45pmWeekend Operating Hours: 6:00 am - 9:00 amWeekend Dispensing Hours:6:00 am - 9:00 amExecutive Director: *Evan Kletter, Ph.D.Medical Director: Kantilal Patel, M.DProgram Director: Daniza Orellana


CADDS # C197085D/MC # 7085


Tax Status: profit



Licensee:BAART Behavioral Health Services, Inc.DBA: N/AAddress: 11315 South Atlantic BoulevardCity: Lynwood Zip: 90262Phone: (310) 537-5883Fax: (310) 537-5587Operating Hours: 5:30 am - 1:30 pmDispensing Hours: 5:30 am-10:00am;11:00am-12:4Weekend Operating Hours: 6 am - 9:00 amWeekend Dispensing Hours:Sat 6 am - 9:00 am Sun 7am-9amExecutive Director: *Evan Kletter, Ph.D.Medical Director: Kantilal Patel, M.DProgram Director: Daniza Orellana


CADDS # 197309D/MC # XXXX


Tax Status: profit



Licensee:Eldorado Community Service CenterDBA: Eastside Health ServicesAddress: 5200 San Gabriel Place, Suite A-CCity: Pico Rivera Zip: 90660Phone: (562) 222-1331Fax: (562) 222-1322Operating Hours: 5:30 a.m. - 2 p.m.Dispensing Hours: 530am-1230pmWeekend Operating Hours: 745 am - 9 amWeekend Dispensing Hours:8:00 am - 9:00 amExecutive Director: *Stan Sharma, Ph.D.Medical Director: Rodney Stillion, M.D.Program Director: Virginia Quinonez


CADDS # C196965D/MC # 19AP





Page 25


12/30/2014

Los Angeles

Licensee:Narcotic Addiction Treatment Agency, IncDBA: N/AAddress: 8741 Laurel Canyon BoulevardCity: Sun Valley Zip: 91352Phone: (818) 768-5525Fax: (818) 768-5530Operating Hours: 6:00 am - 2:00 pmDispensing Hours: 6:00 am - 11:00 amWeekend Operating Hours: By appointmentWeekend Dispensing Hours:8:00am-10:00am or by appt.Executive Director: *William C. WilsonMedical Director: Daniel K. Cham, M.D.Program Director: Christy Wilson


CADDS # C197128D/MC # 7128


Tax Status: Profit



Licensee:The PaJo CorporationDBA: Tri City Institute SouthAddress: 11900 Avalon Boulevard, Suite 200City: Los Angeles Zip: 90061Phone: (323) 242-0500Fax: (323) 242-0600Operating Hours: 6:30 am - 3:00 pm (lunch 11-11:Dispensing Hours: 6:30 am - 1:30 pm (lunch 11-11:Weekend Operating Hours: 8:00 a.m. - 9:00 a.m.Weekend Dispensing Hours:8:00 a.m. - 9:00 a.m.Executive Director: *Carolyn A. Perry, PAMedical Director: Jack Azad, M.D.Program Director: Carolyn A. Perry, PA


CADDS # 197219D/MC # 7219


Tax Status: Profit



Licensee:Tarzana Treatment Center, Inc.DBA: N/AAddress: 18646 Oxnard StreetCity: Tarzana Zip: 91356Phone: (818) 996-1051Fax: (818) 996-3051Operating Hours: 8:00am - 5:00pmDispensing Hours: 9:00am-11:00 - 7:00pm-10:00pmWeekend Operating Hours: N/AWeekend Dispensing Hours:9:00am-11:00am - 7:00pm-10:00Executive Director: *Albert SenellaMedical Director: E. Duane Carmalt, M.D.Program Director: Stan Galperson, PhD

License # 19-152OTP CA10, 300H

CADDS # 196779D/MC # 6779





Page 26


12/30/2014

Los Angeles

Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 1825 E. Thelborn StreetCity: West Covina Zip: 91791-1Phone: (626) 915-3844Fax: (626) 915-3845Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5a-9a 10a-1230pWeekend Operating Hours: 6:30 am - 8:30 amWeekend Dispensing Hours:6:30 am - 8:30 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Curtis Lehmann


CADDS # 191927D/MC # 6746


Tax Status: Profit



Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 14240 E. Imperial HighwayCity: La Mirada Zip: 90638Phone: (562) 946-1587Fax: (562) 946-5740Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5a-9a 10a-12pWeekend Operating Hours: 6:30 am - 8:30 amWeekend Dispensing Hours:6:30 am - 8:30 amExecutive Director: *Alexander DoddMedical Director: Geoge Girgis, M.D.Program Director: Regina Lindner


CADDS # 191915D/MC # 6745


Tax Status: Profit



Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 1050 N. Garey AvenueCity: Pomona Zip: 91767Phone: (909) 623-6391Fax: (909) 620-9491Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5-9a 10a-1230pWeekend Operating Hours: 5:00 am - 8:00 amWeekend Dispensing Hours:5:00 am - 8:00 amExecutive Director: *Alexander DoddMedical Director: Geoge Girgis, M.D.Program Director: Tara Holmquist


CADDS # 196999D/MC # 6752


Tax Status: Profit



Page 27


12/30/2014

Los Angeles

Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 11041 E. Valley BoulevardCity: El Monte Zip: 91731Phone: (626) 442-4177Fax: (626) 442-4498Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5a-9a 10a-1230pWeekend Operating Hours: 6:30 am - 9:00 amWeekend Dispensing Hours:6:30 am - 9:00 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Stacy Choi


CADDS # 191956D/MC # 6747


Tax Status: Profit



Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 1322 N. Avalon BoulevardCity: Wilmington Zip: 90744Phone: (310) 513-1300Fax: (310) 513-1311Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5a-9a 10a-1230pWeekend Operating Hours: 6:00 am - 8:00 amWeekend Dispensing Hours:6:00 am - 8:00 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Susie Florez


CADDS # 191973D/MC # 6750


Tax Status: Profit



Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 614 West Manchester Boulevard, Suite 104City: Inglewood Zip: 90301Phone: (310) 412-0879Fax: (310) 412-3365Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5a-9a 10a-1230pWeekend Operating Hours: 7:00 am - 9:00 amWeekend Dispensing Hours:7:00 am - 9:00 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Donna Sandford


CADDS # 191974D/MC # 6751


Tax Status: Profit



Page 28


12/30/2014

Los Angeles

Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 1450 N. Lake Avenue, Suite 150City: Pasadena Zip: 91104Phone: (626) 794-1161Fax: (626) 794-6071Operating Hours: 5:30 am - 2:00 pmDispensing Hours: 5:30 am - 1:00 pmWeekend Operating Hours: 6:00 am - 8:00 amWeekend Dispensing Hours:630a-1030a 1130a-2pExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Susan O'Brien


CADDS # 191972D/MC # 6749


Tax Status: Profit



Page 29


12/30/2014

Marin

Licensee:Marin Treatment CenterDBA: N/AAddress: 1466 Lincoln AvenueCity: San Rafael Zip: 94901Phone: (415) 457-3755Fax: (415) 457-0849Operating Hours: 8:00a-4:00p M-Th; 8:00a-12:00pDispensing Hours: 7:00am-10:00am 10:30am-11:30Weekend Operating Hours:Weekend Dispensing Hours:7:45 am - 10:30 amExecutive Director: *Brian SlatteryMedical Director: Russell Sandberg, M.D.Program Director: Brian Slattery


CADDS # D212173D/MC # 2173





Page 30


12/30/2014

Merced

Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 1343 W. Main Street, Suites A & BCity: Merced Zip: 95340Phone: (209) 725-1060Fax: (209) 725-1064Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5a-9a 10a-1230pWeekend Operating Hours: 6:00 am - 8:00 amWeekend Dispensing Hours:6:00 am - 8:00 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Jennifer Jones


CADDS # 242412D/MC # 2412


Tax Status: Profit



Page 31


12/30/2014

Monterey

Licensee:Community Human Services Off Main ClinicDBA: N/AAddress: 1083 South Main StreetCity: Salinas Zip: 93901Phone: (831)424-4828Fax: (831)424-5838Operating Hours: 6:00 am - 3:00 pmDispensing Hours: 6:00 am - 10:30 amWeekend Operating Hours: 7:00 am - 9:30 amWeekend Dispensing Hours:7:00 am - 9:30 amExecutive Director: *Robin McCraeMedical Director: Edgar Castellanos, M.D.Program Director: Bruce Loisel, Ph.D.


CADDS # D272735D/MC # 2735





Licensee:Valley Health AssociatesDBA: N/AAddress: 338 Monterey StreetCity: Salinas Zip: 93901Phone: (831)424-6655Fax: (831)424-9717Operating Hours: 6:30 am -3:30 pm (1130-1230 luDispensing Hours: 6:30 am - 9:00 amWeekend Operating Hours: 7:30 am - 9:00 amWeekend Dispensing Hours:7:30 am - 9:00 amExecutive Director: *Norma Jaramillo, CADC IIMedical Director: Edgar Castellanos, M.D.Program Director: Norma Jaramillo, CADC II


CADDS # 272799D/MC # 2799





Page 32


12/30/2014

Orange

Licensee:California Treatment ServicesDBA: Recovery Solutions of Santa AnaAddress: 2101 East 1st StreetCity: Santa Ana Zip: 92705Phone: (714) 542-3581Fax: (714) 542-2246Operating Hours: 5am - 7pmDispensing Hours: 5am - 6:30pmWeekend Operating Hours: 6:30 am - 9:30 amWeekend Dispensing Hours:6:30 am - 9:30 amExecutive Director: *John PeloquinMedical Director: Michael T. Mumford, M.D.Program Director: John Grima


CADDS # D303097D/MC # 3097


Tax Status: profit



Licensee:Western Pacific Med-Corp.DBA: N/AAddress: 10751 Dale StreetCity: Stanton Zip: 90680Phone: (714) 821-5311Fax: (714) 821-6302Operating Hours: 5:30 am - 2:15 pmDispensing Hours: 5:30 am - 12:30 pmWeekend Operating Hours: 5:30 am - 9:30 amWeekend Dispensing Hours:5:30 am - 9:00 amExecutive Director: *Mark R. HickmanMedical Director: Placido Macaraeg, M.D.Program Director: Alan Spohn


CADDS # D303098D/MC # 3098


Tax Status: profit



Licensee:Western Pacific Med-Corp.DBA: N/AAddress: 218 East Commonwealth StreetCity: Fullerton Zip: 92632Phone: (714) 992-4770Fax: (714) 992-5475Operating 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. HickmanMedical Director: Placido Macaraeg, M.D.Program Director: Christopher O'Toole


CADDS # D303099D/MC # 3099


Tax Status: profit



Page 33


12/30/2014

Orange

Licensee:Western Pacific RE-HABDBA: N/AAddress: 10751 Dale StreetCity: Stanton Zip: 90680Phone: (714) 821-5311Fax: (714) 821-6302Operating Hours: 5:30 am - 2:15 pmDispensing Hours: 5:30 am - 12:30 pmWeekend Operating Hours: 5:30 am - 9:30 amWeekend Dispensing Hours:5:30 am - 9:00 amExecutive Director: *Mark R. HickmanMedical Director: Placido Macaraeg, M.D.Program Director: Alan Spohn


CADDS # 308023D/MC # xxxx





Licensee:Western Pacific RE-HABDBA: N/AAddress: 218 East Commonwealth StreetCity: Fullerton Zip: 92632Phone: (714) 992-4770Fax: (714) 992-5475Operating 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. HickmanMedical Director: Placido Macaraeg, M.D.Program Director: Christopher O'Toole


CADDS # 308022D/MC # xxxx





Page 34


12/30/2014

Placer

Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 1133 Coloma Way, # B and CCity: Roseville Zip: 95661Phone: (916) 774-6647Fax: (916) 774-6456Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5a-9a 10a-1230pWeekend Operating Hours: 6:00 am - 8:00 amWeekend Dispensing Hours:6:00 am - 8:00 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Deanna Meyer


CADDS # 313124D/MC # 3127


Tax Status: Profit



Page 35


12/30/2014

Riverside

Licensee:WCHS, Inc.DBA: Riverside Treatment CenterAddress: 1021 West La CadenaCity: Riverside Zip: 92501Phone: (951) 784-8010Fax: (951) 784-2859Operating Hours: 4:45 am - 3:30 pmDispensing Hours: 5am-3pm (lunch 9:30-10:30) ex Weekend Operating Hours: 6:45 am - 10:45 amWeekend Dispensing Hours:7:00 am - 9:30 amExecutive Director: *John PeloquinMedical Director: Mario V. Manese, M.D.Program Director: Tami Elkins


CADDS # D333390D/MC # 3390


Tax Status: profit



Licensee:WCHS, Inc.DBA: Desert Treatment ClinicAddress: 1330 North Indian Canyon Drive, Suites A, B, CCity: Palm Springs Zip: 92262Phone: (760)322-9065Fax: (760)322-8916Operating Hours: 4:45 am - 2:30 pm (T-Th 11-12 cDispensing Hours: 5:00 am - 2:00 pm (9-9:30 lunchWeekend Operating Hours: 5:45 am - 9:45 amWeekend Dispensing Hours:6:00 am - 9:30 amExecutive Director: *John PeloquinMedical Director: Mario V. Manese, M.D.Program Director: Tami Elkins


CADDS # 333337D/MC # 3337


Tax Status: profit



Licensee:WCHS, Inc.DBA: Temecula Valley Treatment CenterAddress: 40700 California Oaks Road, Suite 201, 202, 203City: Murrieta Zip: 92562Phone: (951) 894-5072Fax: (951) 894-7324Operating Hours: 5am-3:30pm closed 11am-1pm TDispensing Hours: 5:15a.m. - 2:15p.m.Weekend Operating Hours: 7:00 a.m. - 10:00 a.m.Weekend Dispensing Hours:7:00 a.m. - 9:30 a.m.Executive Director: *John PeloquinMedical Director: Paul Little, M.D.Program Director: Quan Hancock


CADDS # 333385D/MC # 3385


Tax Status: Profit



Page 36


12/30/2014

Sacramento

Licensee:Treatment Associates, Inc.DBA: Sacramento Treatment ClinicAddress: 7225 East Southgate Drive, Suite DCity: Sacramento Zip: 95823Phone: (916)394-1000Fax: (916)394-1010Operating Hours: 5:00 a.m. - 1:30 p.mDispensing Hours: 5:00am-12:30pm, Weds:5:00amWeekend Operating Hours: 6:00 am - 10:00 amWeekend Dispensing Hours:6:00 am - 10:00 amExecutive Director: *John PeloquinMedical Director: Jaspreet S. MannProgram Director: Sean Benedict


CADDS # C343416D/MC # 34AB


Tax Status: Profit



Licensee:MedMark Treatment Centers - Sacramento, Inc.DBA: N/AAddress: 7240 East Southgate Drive, Suites E & GCity: Sacramento Zip: 95823Phone: (916)391-4293Fax: (916)391-4247Operating Hours: 5:00 a.m. - 1 p.m.Dispensing Hours: 5:00 a.m. - 1:30 p.m.Weekend Operating Hours: 7:00am - 10 amWeekend Dispensing Hours:7:00 am - 10 amExecutive Director: *David K. White, Ph.D.Medical Director: Gilbert Greene, D.O.Program Director: Nicole Benoit


CADDS # 343443D/MC # 34AC


Tax Status: Profit



Licensee:C.O.R.E. MEDICAL CLINIC, INC.DBA: N/AAddress: 2100 Capitol AvenueCity: Sacramento Zip: 95816Phone: (916) 442-4985Fax: (916) 442-1029Operating Hours: 6:00 am - 2:30 pmDispensing Hours: 6:15 am - 1:30 pm Th. 1:00 pmWeekend Operating Hours: 7:00 am - 10:00 amWeekend Dispensing Hours:7:15 am 10:00 amExecutive Director: *Randall L. Stenson, M.D.Medical Director: Randall L. Stenson, M.D.Program Director: Garrett Stenson, MSW


CADDS # 343494D/MC # 34AE


Tax Status: Profit



Page 37


12/30/2014

Sacramento

Licensee:Bi-Valley Medical Clinic, Inc.DBA: N/AAddress: 310 Harris Avenue, Suite ACity: Sacramento Zip: 95838Phone: (916) 649-6793Fax: (916) 929-7411Operating Hours: 6:00am - 2:00pmDispensing Hours: 6:15am - 1:30pmWeekend Operating Hours: 7:00am - 10:00amWeekend Dispensing Hours:7:15am - 10:00amExecutive Director: *Evan Kletter, Ph.D.Medical Director: Ian Johnson, M.D.Program Director: Melissa Develey


CADDS # 343495D/MC # 34AG


Tax Status: Profit



Licensee:BAART Behavioral Health Services, Inc.DBA: N/AAddress: 310 Harris Avenue, Suite ACity: Sacramento Zip: 95838Phone: (916) 649-6793Fax: (916) 929-7411Operating Hours: 6:00am - 2:00pmDispensing Hours: 6:15am - 1:30pmWeekend Operating Hours: 7:00am - 10:00pmWeekend Dispensing Hours:7:15am - 10:00pmExecutive Director: *Evan Kletter, Ph.D.Medical Director: Ian Johnson, M.D.Program Director: Mike Smith




Tax Status: Profit



Licensee:Bi-Valley Medical Clinic, Inc.DBA: N/AAddress: 6127 Fair Oaks BoulevardCity: Carmichael Zip: 95608Phone: (916) 974-8090Fax: (916) 974-7851Operating Hours: 6:00am - 2:00pmDispensing Hours: 6:15am - 1:30pmWeekend Operating Hours: 7:00am - 10:00amWeekend Dispensing Hours:7:15am - 10:00amExecutive Director: *Evan Kletter, Ph.D.Medical Director: John McCarthy, M.D.Program Director: Esther Billingsley


CADDS # 343497D/MC # 34AH


Tax Status: Profit



Page 38


12/30/2014

Sacramento

Licensee:BAART Behavioral Health Services, Inc.DBA: N/AAddress: 6127 Fair Oaks BoulevardCity: Carmichael Zip: 95608Phone: (916) 974-8090Fax: (916) 974-7851Operating Hours: 6:00am - 2:00pmDispensing Hours: 6:15am - 1:30pmWeekend Operating Hours: 7:00am - 10:00amWeekend Dispensing Hours:7:15am - 10:00amExecutive Director: *Evan Kletter, Ph.D.Medical Director: John McCarthy, M.D.Program Director: Esther Billingsley




Tax Status: Profit



Page 39


12/30/2014

San Bernardino

Licensee:WCHS, Inc.DBA: Colton Clinical ServicesAddress: 2275 East Cooley DriveCity: Colton Zip: 92324Phone: (909) 370-1777Fax: (909) 370-1776Operating Hours: 5:00 am - 3:30 pmDispensing Hours: 5:00 am - 3:00 pmWeekend Operating Hours: 7:00 am - 10:00 amWeekend Dispensing Hours:7:00 am - 10:00 amExecutive Director: *John PeloquinMedical Director: Steven Ruh, M.D.Program Director: Carolyn Howell


CADDS # 363602D/MC # 3602


Tax Status: profit



Licensee:California Department of CorrectionsDBA: California Institution for WomenAddress: 16756 Chino-Corona RoadCity: Corona Zip: 92880Phone: (909) 597-1771Fax: (909) 606-4925Operating Hours: 24 hours/dayDispensing Hours: 8:30 am - 9:30 amWeekend Operating Hours: 24 hours/dayWeekend Dispensing Hours:8:30 am - 9:30 amExecutive Director: *Steven Heyne, M.D., CME ext. 3777Medical Director: Corazon Navarro, M.D.Program Director: Lisa Nunez, ext. 3702



Original License Date: 09/28/1988Entity: government

Tax Status: public



Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 125 West "F" Street, Suite 101City: Ontario Zip: 91762Phone: (909) 986-4550Fax: (909) 986-4506Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5a-9a 10a-1230pWeekend Operating Hours: 5:00 am - 8:00 amWeekend Dispensing Hours:5:00 am - 8:00 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Amy Caffero - Tolemy


CADDS # 363650D/MC # 3656


Tax Status: Profit



Page 40


12/30/2014

San Bernardino

Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 11776 Mariposa Road, Suite 103City: Hesperia Zip: 92345Phone: (760) 956-2462Fax: (760) 956-7542Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5a-9a 10a-1230pWeekend Operating Hours: 7:00 am - 9:00 amWeekend Dispensing Hours:7:00 am - 9:00 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Pete Petit


CADDS # 363652D/MC # 3657


Tax Status: Profit



Page 41


12/30/2014

San Diego

Licensee:San Diego Treatment ServicesDBA: Home Avenue ClinicAddress: 3940 Home AvenueCity: San Diego Zip: 92105Phone: (619) 262-8000Fax: (619) 266-7405Operating Hours: 5:30am-2:30pm,Th 5:30am-12pmDispensing Hours: 5:30am-2:00pm,Th 5:30am-12pmWeekend Operating Hours: 7:00 am - 9:30 amWeekend Dispensing Hours:7:00 am - 9:30 amExecutive Director: *John PeloquinMedical Director: Rita Starritt, M.D.Program Director: Susan Niemi


CADDS # 378776D/MC # 8776


Tax Status: profit



Licensee:San Diego Health Alliance, Inc.DBA: El Cajon Treatment CenterAddress: 234 North Magnolia AvenueCity: El Cajon Zip: 92020Phone: (619) 579-8373Fax: (619) 579-8155Operating Hours: 5:30am-12pm,12:30pm-2:30pmWDispensing Hours: 5:30am-12pm,12:30pm-2pm W5Weekend Operating Hours: 7:00 am - 9:00 amWeekend Dispensing Hours:7:00 am - 9:00 amExecutive Director: *John PeloquinMedical Director: Paul Little, M.D.Program Director: Deborah Freeman


CADDS # 378780D/MC # 8780


Tax Status: profit



Licensee:San Diego Health Alliance, Inc.DBA: Capalina ClinicAddress: 1560 Capalina RoadCity: San Marcos Zip: 92069Phone: (760) 744-2104Fax: (760) 744-1382Operating Hours: 5:30 am - 4:30 pmDispensing Hours: 5:30am-4:30pm W 5:30-12pmWeekend Operating Hours: 7:00 am - 10:00 amWeekend Dispensing Hours:7:00 am - 9:30 amExecutive Director: *John PeloquinMedical Director: Paul Little, M.D.Program Director: Richard Kennedy


CADDS # 378778D/MC # 8778


Tax Status: profit



Page 42


12/30/2014

San Diego

Licensee:San Diego Health Alliance, Inc.DBA: Fashion Valley ClinicAddress: 7020 Friars RoadCity: San Diego Zip: 92108Phone: (619) 718-9890Fax: (619) 718-9897Operating Hours: 5:30 am - 3:30 pmDispensing Hours: 5:30 am - 3:30 pmWeekend Operating Hours: 7:00 am - 10:30 amWeekend Dispensing Hours:7:00 am - 10:30 amExecutive Director: *John PeloquinMedical Director: Paul Little, M.D.Program Director: Deborah Hamilton


CADDS # 378779D/MC # 8779


Tax Status: profit



Licensee:San Diego Treatment ServicesDBA: Third Avenue ClinicAddress: 1161 Third AvenueCity: Chula Vista Zip: 91911Phone: (619)498-8260Fax: (619)498-8265Operating Hours: 5:30am - 2pmDispensing Hours: 5:30am-2pm Wed. 5:30am-12:30Weekend Operating Hours: 6:00 am - 10:00 amWeekend Dispensing Hours:6:00 am - 10:00 amExecutive Director: *John PeloquinMedical Director: Rita Starritt, M.D.Program Director: Jelyn Young, Ph.D.


CADDS # 378777D/MC # 8777


Tax Status: profit



Licensee:Mission Treatment Services, Inc.DBA: N/AAddress: 910 E. Ohio Avenue # 104City: Escondido Zip: 92025Phone: (760)745-7786Fax: (760) 745-1061Operating Hours: 5:30 am- 2 pm, W 5 am-9 amDispensing Hours: 5:30am-11am, 11:30am-1:30pmWeekend Operating Hours: 7:00 am - 10:30 amWeekend Dispensing Hours:7:00 am - 10:00 amExecutive Director: *Marc LewisonMedical Director: Mike Markopoulos, M.D.Program Director: Michelle Gonzales


CADDS # 378514D/MC # 8514


Tax Status: Profit



Page 43


12/30/2014

San Diego

Licensee:Mission Treatment Services, Inc.DBA: N/AAddress: 6691 Convoy CourtCity: San Diego Zip: 92111-1Phone: (858) 715-1211Fax: (858) 715-1274Operating Hours: 5:30am-2pm, W 5am-12pmDispensing Hours: 5:30a-11a,11:30a-1:30p,W 5:30aWeekend Operating Hours: 7:00 am - 10:30 amWeekend Dispensing Hours:7:00 am - 10:00 amExecutive Director: *Marc LewisonMedical Director: Mike Markopolous, M.D.Program Director: Michelle Gonzales


CADDS # 378523D/MC # 8523


Tax Status: Profit



Licensee:Progressive Medical Specialists, Inc.DBA: N/AAddress: 4974 El Cajon Boulevard, Suite ACity: San Diego Zip: 92115Phone: (619)286-4600Fax: (619)286-0060Operating Hours: 5:15 am - 1:45 pmDispensing Hours: 5:30 am - 1:00 pmWeekend Operating Hours: 7:00 a.m. - 10:30 a.m.Weekend Dispensing Hours:7:15 am - 10:15 amExecutive Director: *Tim BoylanMedical Director: Joel Grimes, M.D.Program Director: Tim Boylan


CADDS # 378545D/MC # 8545

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

Tax Status: profit



Licensee:Eldorado Community Service CenterDBA: Euclid Medical and Mental Health ServicesAddress: 1733 Euclid AvenueCity: San Diego Zip: 92105Phone: (619) 263-0433Fax: (619) 263-3992Operating Hours: 5:30 a.m. - 5:30 p.m.Dispensing Hours: 5:30am - 5:30pmWeekend Operating Hours: 6:30 a.m. - 10:30 a.m.Weekend Dispensing Hours:6:30 a.m. - 10:30 a.m.Executive Director: *Stan Sharma, Ph.D.Medical Director: Rodney Stillion, M.D.Program Director: Alicia Marquez


CADDS # 378562D/MC # 8562


Tax Status: Non Profit



Page 44


12/30/2014

San Diego

Licensee:SOAP MAT, LLCDBA: N/AAddress: 3230 Waring Court, Suite ACity: Oceanside Zip: 92056Phone: (760) 305-7528Fax: (760) 509-4410Operating Hours: 5:00 am - 2:00 pmDispensing Hours: 5:00 am - 2:00 pmWeekend Operating Hours: 6:00 am -12:00 pmWeekend Dispensing Hours:6:00 am - 10:00 pmExecutive Director: *Laura Rossi, PhDMedical Director: Bruce Pevney, MDProgram Director: Laura Rossi, PhD


CADDS # 378571D/MC # 8571


Tax Status: Profit



Licensee:Mission Treatment Services, Inc.DBA: N/AAddress: 1919 Apple Street Suite F & GCity: Oceanside Zip: 92054Phone: (760) 547-1280Fax: (760) 547-1268Operating Hours: 5:30 am-1:30 pm, W 5::30-12:00Dispensing Hours: 5:30 am-1:30 pm, W 5:30 am-12Weekend Operating Hours: 7:00 am-10:00 amWeekend Dispensing Hours:7:00 am-10:00 amExecutive Director: Marc LewinstonMedical Director: Michael Markopoulos, M.D.Program Director: Michelle Gonzalez


CADDS # XXXXD/MC # XXXX

Original License Date:Entity: Corporation

Tax Status: For-Profit



Page 45


12/30/2014

San Francisco

Licensee:Addiction Research and Treatment, Inc.DBA: Bay Area Addiction Research and TreatmentAddress: 1111 Market StreetCity: San Francisco Zip: 94103Phone: (415)863-3883Fax: (415)863-7343Operating Hours: 6:00 am - 2:00 pmDispensing Hours: MTTHF6am-2pm,W 6a-12pWeekend Operating Hours: 8:00 am - 12:00 pmWeekend Dispensing Hours:8:00 am - 12:00 pmExecutive Director: *Evan Kletter, Ph.D.Medical Director: John Mendelson, MDProgram Director: Dan Graney


CADDS # 383812D/MC # 38AH


Tax Status: profit



Licensee:BAART Behavioral Health Services, Inc.DBA: N/AAddress: 1111 Market StreetCity: San Francisco Zip: 94103Phone: (415)863-3883Fax: (415)863-7343Operating Hours: 6:00 am - 2:00 pmDispensing Hours: MTTHF 6a-2p, W 6a-12pWeekend Operating Hours: 8:00 am - 12:00 pmWeekend Dispensing Hours:8:00 am - 12:00 pmExecutive Director: *Evan Kletter, Ph.D.Medical Director: John Mendelson, MDProgram Director: Dan Graney


CADDS # 383823D/MC # 3823


Tax Status: profit



Licensee:Addiction Research and Treatment, Inc.DBA: Bay Area Addiction Research and TreatmentAddress: 433 Turk StreetCity: San Francisco Zip: 94102Phone: (415)928-7800Fax: (415) 928-3710Operating Hours: 7:00 a.m. - 3:00 p.m.Dispensing Hours: 7a-10:45a,12-2:30p; W7-10:45aWeekend Operating Hours: 7:45 am - 12:15 pmWeekend Dispensing Hours:8:00 am - 12:00 pmExecutive Director: *Evan Kletter, Ph.D.Medical Director: Diana Amodia, M.D.Program Director: Teresa Fleming


CADDS # 383811D/MC # 38AI


Tax Status: profit



Page 46


12/30/2014

San Francisco

Licensee:BAART Behavioral Health Services, Inc.DBA: N/AAddress: 433 Turk StreetCity: San Francisco Zip: 94102Phone: (415)928-7800Fax: (415) 928-3710Operating Hours: 7:00 a.m. - 3:00 p.m.Dispensing Hours: 7a-10:45a,12-2:30p; W7-10:45aWeekend Operating Hours: 7:45 am - 12:15 pmWeekend Dispensing Hours:8:00 am - 12:00 pmExecutive Director: *Evan Kletter, Ph.D.Medical Director: Diana Amodia, M.D.Program Director: Teresa Fleming


CADDS # 383822D/MC # 3822


Tax Status: profit



Licensee:Bay View-Hunter's Point Foundation for Comm. ImprovementDBA: N/AAddress: 1625 Carroll AvenueCity: San Francisco Zip: 94124Phone: (415)822-8200Fax: (415)822-6822Operating Hours: 6:00am - 2:00 pmDispensing Hours: 6:15 am - 11:00 amWeekend Operating Hours: 7:00 am - 11:00 amWeekend Dispensing Hours:7:00 am - 10:00 amExecutive Director: *Jacob K. MoodyMedical Director: Catherine Olson, M.D.Program Director: Alfredta Nesbitt


CADDS # 383816D/MC # 3816





Licensee:San Francisco County Department of Public HealthDBA: Opiate Treatment Outpatient ProgramAddress: 1001 Potrero Avenue, Ward 93City: San Francisco Zip: 94110Phone: (415)206-8412Fax: (415)206-4153Operating Hours: 6:45 am - 3:00 pmDispensing Hours: 6:45 am-11:00 am -12:30 pm-2:0Weekend Operating Hours: 7:30am-2:00 pmWeekend Dispensing Hours:7:30 am-11:00 am, 12:30 pm- 2:Executive Director: *Stephen Dominy, M.D.Medical Director: Brad Shapiro, M.D.Program Director: Deborah Logan, R.N.


CADDS # 383813D/MC # 3813


Tax Status: public



Page 47


12/30/2014

San Francisco

Licensee:San Francisco County Department of Public HealthDBA: Tom Waddell Health CenterAddress: 230 Golden Gate AvenueCity: San Francisco Zip: 94102Phone: (415) 355-7400Fax: (415) 355-7408Operating Hours: 8:30 a.m. - 5:00 p.m.Dispensing Hours:Weekend Operating Hours:Weekend Dispensing Hours:Executive Director: *Stephen Dominy, MDMedical Director: Brad Shapiro, MDProgram Director: Cathy Jacob, LCSW

License # 38-07AOTP CA10, 098M

CADDS # 383813D/MC # 3813

Original License Date: 05/13/2003Entity: Government

Tax Status: Public



Licensee:San Francisco County Department of Public HealthDBA: Potrero Hill Health CenterAddress: 1050 Wisconsin StreetCity: San Francisco Zip: 94107Phone: (415)648-3022Fax: (415)550-1639Operating Hours: 8:30 a.m. to 5:30 p.m.Dispensing Hours:Weekend Operating Hours:Weekend Dispensing Hours:Executive Director: *Stephen Dominy, MDMedical Director: Brad Shapiro M.D.Program Director: Cathy Jacob, LCSW

License # 38-07BOTP CA10, 098M

CADDS # 383813D/MC # 3813


Tax Status: public



Licensee:San Francisco County Department of Public HealthDBA: San Francisco General Hospital PharmacyAddress: 1001 Potrero AvenueCity: San Francisco Zip: 94110Phone: (415)206-8107Fax: (415)206-5469Operating Hours: 9:00 a.m. - 8:00 p.m. M-FDispensing Hours: 8:00 a.m. - 10:30 a.m. M-SatWeekend Operating Hours: 9:00 a.m. - 1:00 p.m. SatWeekend Dispensing Hours:Executive Director: *Stephen Dominy, MDMedical Director: Brad Shapiro, M.D.Program Director: Cathy Jacob, LCSW


CADDS # 383813D/MC # 3813


Tax Status: public



Page 48


12/30/2014

San Francisco

Licensee:San Francisco County Department of Public HealthDBA: Community Behavioral Health Services PharmacyAddress: 1380 Howard Street, Room # 130City: San Francisco Zip: 94103Phone: (415) 255-3659Fax: (415) 255-3754Operating 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/AExecutive Director: *Stephen Dominy, MDMedical Director: Brad Shapiro, M.D.Program Director: Cathy Jacob, LCSW

License # 38-07FOTP CA10, 098M

CADDS # 383813D/MC # 3813


Tax Status: Public


2+2: N30 Day TH's: No

Licensee:San Francisco County Department of Public HealthDBA: Positive Health ProgramAddress: 1001 Potrero Avenue, Building 80, 6th FloorCity: San Francisco Zip: 94110Phone: (415) 206-2488Fax: (415) 206-3464Operating Hours: 8:00 am - 5:00 pmDispensing Hours:Weekend Operating Hours:Weekend Dispensing Hours:Executive Director: *Stephen Dominy, MDMedical Director: Bradley Shapiro, MDProgram Director: Cathy Jacob, LCSW

License # 38-07GOTP CA10, 098M

CADDS # 383813D/MC # 3813


Tax Status: public


2+2:30 Day TH's: No

Licensee:San Francisco County Department of Public HealthDBA: Mobile Narcotic TreatmentAddress: 1885 Mission St., 1676 Newcomb Ave., 141 Leland AveCity: San Francisco Zip: 94103Phone: (415)206-8412Fax: (415)206-6875Operating Hours: 7:00 a.m. - 9:00 a.m.Dispensing Hours: 7:15 am - 12:30 pmWeekend Operating Hours:Weekend Dispensing Hours:Executive Director: *Alice Gleghorn, Ph.D.Medical Director: Brad Shapiro, M.D.Program Director: Deborah Logan, R.N.

License # 38-07MOTP CA10, 098M

CADDS # 383813D/MC # 3813


Tax Status: Public



Page 49


12/30/2014

San Francisco

Licensee:Fort Help LLCDBA: N/AAddress: 915 Bryant StreetCity: San Francisco Zip: 94103Phone: (415) 777-9953Fax: (415) 777-4717Operating 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: *Stan Sharma, Ph.D.Medical Director: Catherine Sanders, MDProgram Director: Maryann Laramee


CADDS # 383836D/MC # 3836


Tax Status: profit



Licensee:Fort Help Mission, Inc.DBA: N/AAddress: 1101 Capp StreetCity: San Francisco Zip: 94110Phone: (415) 821-1427Fax: (415) 821-1426Operating Hours: 6:00 a.m. - 2:30 p.m.Dispensing Hours: 6:15 - 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: *Stan Sharma, Ph.D.Medical Director: Catherine Sanders, M.D.Program Director: Grace Lewis


CADDS # 388907D/MC # 8907


Tax Status: Profit



Licensee:Westside Community Mental Health CenterDBA: N/AAddress: 1301 Pierce StreetCity: San Francisco Zip: 94115Phone: (415)563-8200Fax: (415)563-5985Operating Hours: 8:00 am - 3:30 pmDispensing Hours: 7:00am-10:45am 12pm-1:45 pmWeekend Operating Hours: 8:00 am - 11:00 pmWeekend Dispensing Hours:8:00 am - 11:00 pmExecutive Director: *Mary Ann JonesMedical Director: Richard Patel, M.D.Program Director: Ericka Rivera


CADDS # 383887D/MC # 3887





Page 50


12/30/2014

San Joaquin

Licensee:Healthy Connections, Inc.DBA: N/AAddress: 1947 North California Street, Suite B and CCity: Stockton Zip: 95204Phone: (209) 463-0870Fax: (209) 463-1803Operating Hours: 6:00 am - 2:00 pmDispensing Hours: 6 am - 9:45 am 10:30am-12:30pmWeekend Operating Hours: 8:00 am-11:00 amWeekend Dispensing Hours:Sat- 8:00 am-11:00 amExecutive Director: *Sharon HendrixMedical Director: Ernest J. Vasti, M.D.Program Director: Sharon Hendrix


CADDS # 393910D/MC # 3910


Tax Status: profit



Licensee:Healthy Connections, Inc.DBA: 5th Street Medical ClinicAddress: 1839 S. El Dorado StreetCity: Stockton Zip: 95206Phone: (209)463-0872Fax: (209)466-4446Operating Hours: 5:30 am - 2:00 pmDispensing Hours: 5:30am - 9:45am 10:30am-1pmWeekend Operating Hours: 8:00 am - 11:00 amWeekend Dispensing Hours:8:00 am - 11:00 amExecutive Director: *Sharon HendrixMedical Director: Ernest J. Vasti, M.D.Program Director: Da Her


CADDS # 393949D/MC # 3949


Tax Status: Profit



Licensee:MedMark Treatment Centers - Stockton, Inc.DBA: N/AAddress: 1107 - 1111 N. El Dorado St., 33 E. Magnolia St., # 3, 5City: Stockton Zip: 95202Phone: (209)938-0228Fax: (209)938-0281Operating Hours: 5:00 a.m. - 3 p.m.Dispensing Hours: 5:00 a.m. - 3 p.m.Weekend Operating Hours: 7:00am - 11:00 amWeekend Dispensing Hours:7 - 11 am; 5am - 1pm holidaysExecutive Director: *David K. White, Ph.D.Medical Director: Gilbert Greene, D.O.Program Director: Allen Grim




Tax Status: Profit



Page 51


12/30/2014

San Joaquin

Licensee:Healthy Connections, Inc.DBA: N/AAddress: 1235 West Vine Street, Suite 20City: Lodi Zip: 95240Phone: (209) 339-7410Fax: (209) 339-8778Operating Hours: 5:00 a.m. -12:00 p.m.Dispensing Hours: 5:30 a.m. - 11:45 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: *Sharon HendrixMedical Director: Ernest J. VastiProgram Director: Tamara Metcalf


CADDS # 393959D/MC # 39AD


Tax Status: Profit


2+2: Y30 Day TH's: No

Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 8626 Lower Sacramento Road, Suite 41City: Stockton Zip: 95210Phone: (209) 478-2487Fax: (209) 478-1476Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5a-9a 10a-1230pWeekend Operating Hours: 6:00 am - 10:30 amWeekend Dispensing Hours:6:00 am - 10:30 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Sarah Lawson


CADDS # 393999D/MC # 3974


Tax Status: Profit



Licensee:Healthy Connections, Inc.DBA: N/AAddress: 955 W. Center Street Suite 12A & 14City: Manteca Zip: 95337Phone: (209) 239-9600Fax: (209) 239-2244Operating Hours: 6:00 am -2:00 p.m.Dispensing Hours: 6:00-10:00 a.m, 10:30-12:30 p.mWeekend Operating Hours: 7:00- a.m.-10:00 a.m.Weekend Dispensing Hours:7:00 a.m.-10:00 a.m.Executive Director: Sharon HendrixMedical Director: Ernest J. Vasti, M.D.Program Director: Sharon Hendrix


CADDS # XXXXD/MC # XXXX


Tax Status: For Profit


2+2: Y30 Day TH's: No

Page 52


12/30/2014

San Luis Obispo

Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 6500 Morro Road, Suite DCity: Atascadero Zip: 93422Phone: (805) 461-5212Fax: (805) 461-5873Operating Hours: 6a-230p MTWTH 230p-730pDispensing Hours: 6a-10a 11a-130p MTWTH3p-7pWeekend Operating Hours: 6:00 am - 8:00 amWeekend Dispensing Hours:6:00 am - 8:00 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Anna Murray


CADDS # 404002D/MC # 4003


Tax Status: Profit



Page 53


12/30/2014

San Mateo

Licensee:Addiction Research and Treatment, Inc.DBA: N/AAddress: 795 Willow Rd,.Building 332City: Menlo Park Zip: 94025Phone: (650) 324-1470Fax: (650) 324-4149Operating Hours: MTWF 6a-2p TH 5:45a-2pDispensing Hours: MTF 6a-1p W 6a-12p TH 5:45a-Weekend Operating Hours: 6:45 am - 10:30 amWeekend Dispensing Hours:7:00 am - 10 amExecutive Director: *Evan Kletter, Ph.D.Medical Director: Carolyn Schuman, MDProgram Director: Lubov Belova


CADDS # 414196D/MC # 4196


Tax Status: Profit



Licensee:BAART Behavioral Health Services, Inc.DBA: N/AAddress: 795 Willow Road, Building 332City: Menlo Park Zip: 94025Phone: (650) 324-1470Fax: (650) 324-4149Operating Hours: MTWF 6a-2p TH 545a-2pDispensing Hours: MTF 6a-1p W 6a-12p TH 545a-Weekend Operating Hours: 6:45am - 10:30amWeekend Dispensing Hours:7:00am - 10amExecutive Director: *Evan Kletter, Ph.D.Medical Director: Carolyn Schuman, MDProgram Director: Lubov Belova


CADDS # 414195D/MC # 4195


Tax Status: Profit



Page 54


12/30/2014

Santa Barbara

Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 115 East Fesler StreetCity: Santa Maria Zip: 93454Phone: (805) 922-6597Fax: (805) 922-5978Operating Hours: 6a-230p WTH 230p-730pDispensing Hours: 6:00 am - 1:30 pmWeekend Operating Hours: 6:00 am - 9:00 amWeekend Dispensing Hours:6a-10a 11a-1:30p WTH 3p-7pExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Monica Tanner


CADDS # 424211D/MC # 4269


Tax Status: Profit



Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 4129 State Street, Suite B,D,E,FCity: Santa Barbara Zip: 93110Phone: (805) 964-4795Fax: (805) 683-3027Operating Hours: 6 am - 2:30 pmDispensing Hours: 6 am - 1:30 pm (10-11am lunch)Weekend Operating Hours: 6:00 am - 9:00 amWeekend Dispensing Hours:6a-930a, 11a-130pExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Kimberly Claggett, Ph.D.


CADDS # 424209D/MC # 4272


Tax Status: Profit



Page 55


12/30/2014

Santa Clara

Licensee:Santa Clara County Department of Alcohol and Drug ServicesDBA: N/AAddress: 2425 Enborg LaneCity: San Jose Zip: 95128Phone: (408) 885-5400Fax: (408) 885-4055Operating Hours: 6:00 am - 4:00 pmDispensing Hours: 6:00 am - 11:00 amWeekend Operating Hours:Weekend Dispensing Hours:7:00 am - 9:30 amExecutive Director: *Bruce CopleyMedical Director: Ali Alkoraishi, M.D.Program Director: Mark Stanford, Ph.D.


CADDS # 434397D/MC # 4397


Tax Status: public



Licensee:Santa Clara CountyDBA: N/AAddress: 150 West Hedding StreetCity: San Jose Zip: 95110Phone: (408)885-5400Fax: (408)885-4055Operating Hours: 24 hours/dayDispensing Hours: 24 hours/dayWeekend Operating Hours: 24 hours/dayWeekend Dispensing Hours:24 hours/dayExecutive Director: *Bruce CopleyMedical Director: Ali Alkoraishi, MDProgram Director: Mark Stanford, Ph.D.

License # 43-01MOTP CA10, 188M

CADDS # D434399D/MC # 0000


Tax Status: public



Licensee:Santa Clara County Department of Alcohol and Drug ServicesDBA: South County ClinicAddress: 90 Highland AvenueCity: San Martin Zip: 95046Phone: (408) 852-2420Fax: (408) 683-0697Operating Hours: 6:00 am - 2:30 pmDispensing Hours: 6:00am - 11:00 amWeekend Operating Hours:Weekend Dispensing Hours:7:00 am - 9:00 amExecutive Director: *Bruce CopleyMedical Director: Ali Alkoraishi, M.D.Program Director: Mark Stanford, Ph.D.


CADDS # 434394D/MC # 4394


Tax Status: public



Page 56


12/30/2014

Santa Clara

Licensee:Santa Clara County Department of Alcohol and Drug ServicesDBA: Alexian Health ClinicAddress: 2101 Alexian Drive, Suites A & BCity: San Jose Zip: 95116Phone: (408) 885-5400Fax: (408) 885-4055Operating Hours: 6:00 am - 2:30 pmDispensing Hours: 6:00 am - 11 amWeekend Operating Hours: NoneWeekend Dispensing Hours:7:00 am - 9:00 amExecutive Director: *Bruce CopleyMedical Director: Ali Alkoraishi, M.D.Program Director: Mark Stanford, Ph.D.


CADDS # 434371D/MC # 4371


Tax Status: Public



Page 57


12/30/2014

Santa Cruz

Licensee:Janus of Santa CruzDBA: Janus Community ClinicAddress: 1000-A, 1010-C Emeline AvenueCity: Santa Cruz Zip: 95060Phone: (831)425-0112Fax: (831)425-1847Operating Hours: 5:30 am - 3:00 pmDispensing Hours: 5:30am-9:30am, 11:00am-12:30pWeekend Operating Hours: 6:30 am - 9:30 amWeekend Dispensing Hours:6:30 am - 9:30 amExecutive Director: *Rod LibbeyMedical Director: William Morris, MDProgram Director: Cecilia Krebs, RN


CADDS # 444460D/MC # 44AB





Licensee:Janus of Santa CruzDBA: Janus South CountyAddress: 284 Pennsylvania Drive, Suite 2City: Watsonville Zip: 95076Phone: (831) 319-4200Fax: (831) 319-4204Operating Hours: 5:00am - 1:00pmDispensing Hours: 5:00am - 10:00amWeekend Operating Hours:Weekend Dispensing Hours:6:00am - 9:30amExecutive Director: *Rod LibbeyMedical Director: William Morris, M.D.Program Director: Cecilia Krebs


CADDS # XXXXXXD/MC # XXXX


Tax Status: Non Profit



Page 58


12/30/2014

Solano

Licensee:MedMark Treatment Centers - Fairfield, Inc.DBA: N/AAddress: 1143 Missouri StreetCity: Fairfield Zip: 94533Phone: (707)435-9911Fax: (707)435-0704Operating Hours: 5:00am-1:30pmDispensing Hours: 5:00 a.m - 1:00 p.m. (10:30-11) lWeekend Operating Hours: 7:00am 9:30amWeekend Dispensing Hours:7:00 a.m. - 9:30 a.m.Executive Director: *David K. White, Ph.D.Medical Director: Gilbert Greene, D.O.Program Director: Rajwant Lally


CADDS # 484806D/MC # 48AA


Tax Status: Profit



Licensee:Successful Alternatives For Addiction & Counseling Services, Inc.DBA: MedMark Treatment Centers - VallejoAddress: 1628 N.Broadway Street, Suite BCity: Vallejo Zip: 94590Phone: (707) 649-8300Fax: (707) 649-8302Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5:00 am 10:00 - 10:30-1:00 pmWeekend Operating Hours: 7:00 am - 9:30 amWeekend Dispensing Hours:7:00 am - 9:30 amExecutive Director: *David K. White, Ph.D.Medical Director: Gilbert Greene, D.O.Program Director: Rajwant Lally


CADDS # 484826D/MC # 4826


Tax Status: Profit



Page 59


12/30/2014

Sonoma

Licensee:Santa Rosa Treatment Program, Inc.DBA: N/AAddress: 1901 Cleveland Avenue, Suite BCity: Santa Rosa Zip: 95401Phone: (707) 576-0818Fax: (707) 576-7845Operating Hours: 6:00 am - 2:00 pmDispensing Hours: 7:00 am - 11:00 amWeekend Operating Hours: 7:00 am - 10:00 amWeekend Dispensing Hours:6:00 am - 10:00 amExecutive Director: *Lee TillmanMedical Director: Daniel S. Calder, M.D.Program Director: Lee Tillman




Tax Status: profit



Licensee:Drug Abuse Alternatives CenterDBA: Redwood Empire Addiction ProgramAddress: 2403 Professional Drive, Suite 103City: Santa Rosa Zip: 95403Phone: (707) 526-2999Fax: (707) 526-0527Operating Hours: 6:00 am - 2:00 pmDispensing Hours: 6:00 am - 10:00 amWeekend Operating Hours: 7:00 am - 12:30 pmWeekend Dispensing Hours:7:00 am - 10:00 amExecutive Director: *Marlus StewartMedical Director: Russell L. Sandberg, M.D.Program Director: Carley Moore


CADDS # 494909D/MC # 4909





Page 60


12/30/2014

Stanislaus

Licensee:Stanislaus CountyDBA: N/AAddress: 800 Scenic Drive, Building 4City: Modesto Zip: 95350Phone: (209) 525-6146Fax: (209) 525-5361Operating Hours: M-TH 6:30am-3:00pm F 6:30amDispensing Hours: 6:30 am - 9:30 amWeekend Operating Hours:Weekend Dispensing Hours:8:00 am - 9:45 amExecutive Director: *Madelyn SchlaepferMedical Director: Michael Gorman, M.D.Program Director: Dawn Vercelli


CADDS # 505014D/MC # 5014


Tax Status: public



Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 1235 McHenry Avenue, Suites A & BCity: Modesto Zip: 95354Phone: (209) 527-4597Fax: (209) 527-4599Operating Hours: 530a-930a 10a-1pDispensing Hours: 5:30 am - 1:00 pmWeekend Operating Hours: 7:00 am - 10:00 amWeekend Dispensing Hours:7:00 am - 10:00 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Rebecca Mitchell


CADDS # 505021D/MC # 5008


Tax Status: Profit



Page 61


12/30/2014

Sutter-Yuba

Licensee:Addiction Treatment Services, Inc.DBA: N/AAddress: 1496-1498 North Beale RoadCity: Marysville Zip: 95901Phone: (530) 749-8640Fax: (530) 749-8646Operating Hours: 5:00a-1:30pDispensing Hours: 5:00a-1pmWeekend Operating Hours: 6:00am - 9:00amWeekend Dispensing Hours:6:00am - 9:00amExecutive Director: *Stan Sharma, Ph.D.Medical Director: Catherine Sanders, M.D.Program Director: Michael Peart




Tax Status: Profit



Page 62


12/30/2014

Sutter/Yuba

Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 320 H Street, Suite 2City: Marysville Zip: 95901Phone: (530) 742-7747Fax: (530) 742-7642Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5a-9a 10a-1230p (9am-10am lunWeekend Operating Hours: 7:00 am - 9:00 amWeekend Dispensing Hours:7:00 am - 9:00 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Jessica Joyce


CADDS # 585899D/MC # 58AD


Tax Status: Profit



Page 63


12/30/2014

Tulare

Licensee:Kings ViewDBA: N/AAddress: 559 East Bardsley AvenueCity: Tulare Zip: 93274Phone: (559) 688-7531Fax: (559) 688-3509Operating Hours: 5:30 a.m. - 3:00 p.m.Dispensing Hours: 5:30 a.m. - noon (lunch 10:30-11Weekend Operating Hours: ClosedWeekend Dispensing Hours:7am - 9am (closed 9:30am holidExecutive Director: Candie SmithMedical Director: Saqib Rashid, M.D.Program Director: Cindy Gonzales


CADDS # 545476D/MC # 5476





Licensee:Addiction Research and Treatment, Inc.DBA: Bay Area Addiction Research and TreatmentAddress: 1646 South Court StreetCity: Visalia Zip: 93277Phone: (559) 625-8890Fax: (559) 733-5053Operating Hours: MTWF 530A-330P TH530A-12Dispensing Hours: MTWF530A-330P TH 530A-12Weekend Operating Hours: 6:00 am - 9:00 amWeekend Dispensing Hours:6:00 am - 9:00 am Holidays 6amExecutive Director: *Evan Kletter, Ph.D.Medical Director: Kyle Moore, M.D.Program Director: Katherine Rogers


CADDS # 545439D/MC # 5439


Tax Status: profit



Licensee:BAART Behavioral Health Services, Inc.DBA: N/AAddress: 1646 South Court StreetCity: Visalia Zip: 93277Phone: (559) 625-8890Fax: (559) 733-5053Operating Hours: MTWF 530a-330p TH 530a-12pDispensing Hours: MTWF5:30am-3:30pm Th 1-3:3Weekend Operating Hours: 6:00 am - 9:00 amWeekend Dispensing Hours:6:00 am - 9:00 am Holidays 6amExecutive Director: *Evan Kletter, Ph.D.Medical Director: Kyle Moore, M.D.Program Director: Katherine Rogers




Tax Status: profit



Page 64


12/30/2014

Ventura

Licensee:Western Pacific Med-Corp.DBA: N/AAddress: 955 East Thompson BoulevardCity: Ventura Zip: 93002Phone: (805) 641-9100Fax: (805) 641-9040Operating Hours: 5:15 am - 1:45 pm(lunch 10:15-1Dispensing Hours: 5:15am-12:30pm (lunch 10:15-1Weekend Operating Hours: 6 am - 9:30 amWeekend Dispensing Hours:6 am - 9 am (7-8 am holidays)Executive Director: *Mark R. HickmanMedical Director: John Korzelius, M.D.Program Director: Sean Seitz


CADDS # C565613D/MC # 5613


Tax Status: profit



Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 2055 Saviers Road, Suite 9,10,11,12City: Oxnard Zip: 93033Phone: (805) 483-2253Fax: (805) 483-2255Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5a-9a 10a-1230pWeekend Operating Hours: 6:00 am - 9:00 amWeekend Dispensing Hours:6:00 am - 9:00 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Dr. Rachel McDuffee


CADDS # 565660D/MC # 5605


Tax Status: Profit



Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 2650 Jones Way, Suite 10City: Simi Valley Zip: 93065Phone: (805) 522-1844Fax: (805) 533-5345Operating Hours: 5:00 am - 1:30 pmDispensing Hours: 5a-9a 10a-1230pWeekend Operating Hours: 6:00 am - 9:00 amWeekend Dispensing Hours:6:00 am - 9:00 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Leya Worcester


CADDS # 565665D/MC # 5606


Tax Status: Profit



Page 65


12/30/2014

Ventura

Licensee:Aegis Treatment Centers, LLCDBA: N/AAddress: 625 E Main StreetCity: Santa Paula Zip: 93060Phone: (805) 525-4669Fax: (805) 525-5799Operating Hours: 6:00 am - 2:30 pmDispensing Hours: 6a-10a 11a-1pWeekend Operating Hours: 6:00 am - 9:00 amWeekend Dispensing Hours:6:00 am - 9:00 amExecutive Director: *Alexander DoddMedical Director: George Girgis, M.D.Program Director: Natalie Ebrahim


CADDS # 565607D/MC # 5603


Tax Status: Profit



Page 66

Documents

Narcotic Treatment Program Directory · State of California Narcotic Treatment Program Directory 12/30/2014. Alameda. Licensee:The West Oakland Health Council DBA: N/A Address: 700