Provider Demographics
NPI:1730973967
Name:THE SALVATION ARMY CHICO ADULT REHABILITATION PROGRAM
Entity type:Organization
Organization Name:THE SALVATION ARMY CHICO ADULT REHABILITATION PROGRAM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JODENE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SETERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-828-8268
Mailing Address - Street 1:13404 BROWNS VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-9037
Mailing Address - Country:US
Mailing Address - Phone:530-828-8268
Mailing Address - Fax:530-342-3936
Practice Address - Street 1:13404 BROWNS VALLEY DR
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-9037
Practice Address - Country:US
Practice Address - Phone:530-828-8268
Practice Address - Fax:530-342-3936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No251S00000XAgenciesCommunity/Behavioral Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center