Narcotic Treatment Program Directory · State of California Narcotic Treatment Program Directory...
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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
License # 01-70OTP CA10, 038M
CADDS # D010167D/MC # 0167
Original License Date: 01/01/1983Entity: corporation
Tax Status: nonprofit
Total Slots: 450LAAM: No
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.
License # 01-90OTP CA10, 093M
CADDS # D010181D/MC # 0181
Original License Date: 01/01/1983Entity: corporation
Tax Status: nonprofit
Total Slots: 325LAAM: No
2+2: Yes30 Day TH's: No
Page 1
State of CaliforniaNarcotic Treatment Program Directory
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
License # 01-92OTP CA10, 249M
CADDS # D010142D/MC # 0000
Original License Date: 05/11/1989Entity: corporation
Tax Status: profit
Total Slots: 10LAAM: No
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
License # 01-94OTP CA10, 309M
CADDS # D018104D/MC # 8104
Original License Date: 03/01/1996Entity: corporation
Tax Status: nonprofit
Total Slots: 400LAAM: No
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
License # 01-96OTP CA10, 186M
CADDS # 010198D/MC # 01AG
Original License Date: 09/06/2007Entity: corporation
Tax Status: profit
Total Slots: 550LAAM: No
2+2: yes30 Day TH's: Yes
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State of CaliforniaNarcotic Treatment Program Directory
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
License # 01-97OTP CA10, 186M
CADDS # 018116D/MC # 8116
Original License Date: 09/06/2007Entity: corporation
Tax Status: profit
Total Slots: 50LAAM: No
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
License # 01-98OTP CA10, 304M
CADDS # 018108D/MC # 8108
Original License Date: 05/14/2009Entity: Corporation
Tax Status: Profit
Total Slots: 275LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 01-99OTP CA10, 354M
CADDS # 010196D/MC # 01AI
Original License Date: 02/13/2013Entity: Corporation
Tax Status: Profit
Total Slots: 375LAAM: No
2+2: Y30 Day TH's: Yes
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State of CaliforniaNarcotic Treatment Program Directory
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
License # 04-02OTP CA10, 297M
CADDS # 040499D/MC # 0498
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 532LAAM: No
2+2: Yes30 Day TH's: No
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State of CaliforniaNarcotic Treatment Program Directory
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
License # 07-07OTP CA10, 138M
CADDS # D070709D/MC # 07AD
Original License Date: 03/05/1988Entity: corporation
Tax Status: profit
Total Slots: 750LAAM: Yes
2+2: Yes30 Day TH's: 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
Original License Date: 03/05/1988Entity: corporation
Tax Status: profit
Total Slots: 60LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 07-08OTP CA10, 095M
CADDS # D070708D/MC # 07AC
Original License Date: 03/05/1988Entity: corporation
Tax Status: profit
Total Slots: 400LAAM: Yes
2+2: Yes30 Day TH's: Yes
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State of CaliforniaNarcotic Treatment Program Directory
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
License # 07-08DOTP CA10, 244M
CADDS # 070751D/MC # 0000
Original License Date: 03/05/1988Entity: corporation
Tax Status: profit
Total Slots: 20LAAM: No
2+2: No30 Day TH's: Yes
Page 6
State of CaliforniaNarcotic Treatment Program Directory
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
License # 10-01OTP CA10, 005M
CADDS # D101052D/MC # 10AF
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 550LAAM: Yes
2+2: Yes30 Day TH's: Yes
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
License # 10-01DOTP CA10, 218M
CADDS # D101090D/MC # 0000
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 50LAAM: No
2+2: No30 Day TH's: Yes
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
License # 10-02OTP CA10, 141M
CADDS # D101028D/MC # 10AD
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 600LAAM: Yes
2+2: Yes30 Day TH's: Yes
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State of CaliforniaNarcotic Treatment Program Directory
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
License # 10-02DOTP CA10, 216M
CADDS # 101088D/MC # 1088
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 25LAAM: No
2+2: No30 Day TH's: Yes
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
License # 10-04OTP CA10, 307M
CADDS # 101027D/MC # 10AE
Original License Date: 09/06/1995Entity: corporation
Tax Status: profit
Total Slots: 225LAAM: Yes
2+2: Yes30 Day TH's: Yes
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
License # 10-04DOTP CA10, 308M
CADDS # 101089D/MC # 1089
Original License Date: 09/06/1995Entity: corporation
Tax Status: profit
Total Slots: 10LAAM: No
2+2: No30 Day TH's: Yes
Page 8
State of CaliforniaNarcotic Treatment Program Directory
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
License # 10-06OTP CA10, 362M
CADDS # 101097D/MC # 1097
Original License Date: 04/28/2008Entity: Corporation
Tax Status: Profit
Total Slots: 415LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 10-07OTP CA10, 223M
CADDS # 101003D/MC # 1033
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 500LAAM: No
2+2: Yes30 Day TH's: No
Page 9
State of CaliforniaNarcotic Treatment Program Directory
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
License # 13-02OTP CA10, 140M
CADDS # D131308D/MC # 1308
Original License Date: 01/01/1983Entity: corporation
Tax Status: nonprofit
Total Slots: 120LAAM: No
2+2: Yes30 Day TH's: No
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
License # 13-04OTP CA10, 343M
CADDS # 131304D/MC # 1304
Original License Date: 01/27/2006Entity: corporation
Tax Status: nonprofit
Total Slots: 320LAAM: No
2+2: Yes30 Day TH's: No
Page 10
State of CaliforniaNarcotic Treatment Program Directory
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
License # 15-04OTP CA10, 329M
CADDS # C151571D/MC # 1571
Original License Date: 01/13/2000Entity: LLC
Tax Status: profit
Total Slots: 400LAAM: Yes
2+2: Yes30 Day TH's: Yes
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
License # 15-05OTP CA10, 272M
CADDS # 151506D/MC # 1509
Original License Date: 01/11/1014Entity: LLC
Tax Status: Profit
Total Slots: 650LAAM: No
2+2: Yes30 Day TH's: No
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
License # 15-06OTP CA10, 303M
CADDS # 151525D/MC # 1520
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 150LAAM: No
2+2: Yes30 Day TH's: No
Page 11
State of CaliforniaNarcotic Treatment Program Directory
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
License # 15-07OTP CA10, 381M
CADDS # XXXXXXD/MC # XXXX
Original License Date: 09/09/2014Entity: LLC
Tax Status: Profit
Total Slots: 400LAAM: No
2+2: Yes30 Day TH's: Yes
Page 12
State of CaliforniaNarcotic Treatment Program Directory
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
License # 19-012OTP CA10, 161M
CADDS # 191949D/MC # 1949
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 325LAAM: Yes
2+2: Yes30 Day TH's: Yes
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
License # 19-013OTP CA10, 180M
CADDS # D196902D/MC # 6902
Original License Date: 01/01/1983Entity: corporation
Tax Status: nonprofit
Total Slots: 500LAAM: No
2+2: Yes30 Day TH's: No
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
License # 19-035OTP CA10, 183M
CADDS # D191947D/MC # 0000
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 110LAAM: No
2+2: No30 Day TH's: No
Page 13
State of CaliforniaNarcotic Treatment Program Directory
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
License # 19-037OTP CA10, 190M
CADDS # D191946D/MC # 1946
Original License Date: 03/23/1987Entity: partnership
Tax Status: profit
Total Slots: 300LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 19-038OTP CA10, 197M
CADDS # D197002D/MC # 7002
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 230LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 19-042OTP CA10, 209M
CADDS # D191958D/MC # 1958
Original License Date: 01/01/1983Entity: corporation
Tax Status: nonprofit
Total Slots: 175LAAM: No
2+2: Yes30 Day TH's: Yes
Page 14
State of CaliforniaNarcotic Treatment Program Directory
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
License # 19-048OTP CA10, 199M
CADDS # 196997D/MC # 69AL
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 450LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 19-048DOTP CA10, 221M
CADDS # 197311D/MC # 0000
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 25LAAM: No
2+2: No30 Day TH's: Yes
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
License # 19-060OTP CA10, 191M
CADDS # D191948D/MC # 1948
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 325LAAM: Yes
2+2: No30 Day TH's: Yes
Page 15
State of CaliforniaNarcotic Treatment Program Directory
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
License # 19-088OTP CA10, 195M
CADDS # D197000D/MC # 7000
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 325LAAM: Yes
2+2: Yes30 Day TH's: Yes
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
License # 19-107OTP CA10, 235M
CADDS # D196984D/MC # 6984
Original License Date: 12/01/1986Entity: LLC
Tax Status: profit
Total Slots: 460LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 19-112OTP CA10, 230M
CADDS # D196912D/MC # 69AJ
Original License Date: 09/28/1987Entity: corporation
Tax Status: profit
Total Slots: 375LAAM: No
2+2: Yes30 Day TH's: Yes
Page 16
State of CaliforniaNarcotic Treatment Program Directory
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
License # 19-112DOTP CA10, 238M
CADDS # 197310D/MC # 69AJ
Original License Date: 09/28/1987Entity: corporation
Tax Status: profit
Total Slots: 25LAAM: No
2+2: No30 Day TH's: Yes
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
License # 19-114OTP CA10, 233M
CADDS # D191968D/MC # 1968
Original License Date: 01/15/1988Entity: corporation
Tax Status: profit
Total Slots: 275LAAM: Yes
2+2: Yes30 Day TH's: Yes
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
License # 19-115OTP CA10, 020M
CADDS # 196916D/MC # 69AK
Original License Date: 08/11/1988Entity: corporation
Tax Status: profit
Total Slots: 750LAAM: No
2+2: Yes30 Day TH's: Yes
Page 17
State of CaliforniaNarcotic Treatment Program Directory
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
License # 19-115DOTP CA10, 248M
CADDS # 197302D/MC # 7302
Original License Date: 08/11/1988Entity: corporation
Tax Status: profit
Total Slots: 30LAAM: No
2+2: No30 Day TH's: Yes
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
License # 19-116OTP CA10, 240M
CADDS # D191980D/MC # 1980
Original License Date: 09/01/1988Entity: corporation
Tax Status: profit
Total Slots: 275LAAM: Yes
2+2: Yes30 Day TH's: Yes
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
License # 19-121OTP CA10, 260M
CADDS # D197000D/MC # 7000
Original License Date: 05/26/1990Entity: corporation
Tax Status: nonprofit
Total Slots: 130LAAM: No
2+2: No30 Day TH's: No
Page 18
State of CaliforniaNarcotic Treatment Program Directory
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
License # 19-122OTP CA10, 261M
CADDS # D191980D/MC # 1980
Original License Date: 05/26/1990Entity: corporation
Tax Status: nonprofit
Total Slots: 120LAAM: No
2+2: No30 Day TH's: No
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
License # 19-123OTP CA10, 262M
CADDS # D191948D/MC # 1948
Original License Date: 07/19/1990Entity: corporation
Tax Status: nonprofit
Total Slots: 80LAAM: No
2+2: No30 Day TH's: No
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
License # 19-124OTP CA10, 259M
CADDS # D191968D/MC # 1968
Original License Date: 07/24/1990Entity: corporation
Tax Status: nonprofit
Total Slots: 80LAAM: No
2+2: No30 Day TH's: No
Page 19
State of CaliforniaNarcotic Treatment Program Directory
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
License # 19-125OTP CA10, 258M
CADDS # 191949D/MC # 1949
Original License Date: 07/19/1990Entity: corporation
Tax Status: nonprofit
Total Slots: 80LAAM: No
2+2: No30 Day TH's: No
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
License # 19-126OTP CA10, 257M
CADDS # 196984D/MC # 19CQ
Original License Date: 03/28/1990Entity: corporation
Tax Status: nonprofit
Total Slots: 210LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 19-128OTP CA10, 255M
CADDS # 197360D/MC # 7360
Original License Date: 04/18/1990Entity: corporation
Tax Status: nonprofit
Total Slots: 325LAAM: No
2+2: Yes30 Day TH's: Yes
Page 20
State of CaliforniaNarcotic Treatment Program Directory
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
License # 19-130OTP CA10, 279M
CADDS # D196983D/MC # 6983
Original License Date: 07/15/1991Entity: corporation
Tax Status: nonprofit
Total Slots: 400LAAM: No
2+2: Yes30 Day TH's: No
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
License # 19-131OTP CA10, 282M
CADDS # D191977D/MC # 1977
Original License Date: 02/28/1992Entity: corporation
Tax Status: nonprofit
Total Slots: 400LAAM: Yes
2+2: Yes30 Day TH's: Yes
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
License # 19-135OTP CA10, 296M
CADDS # C196969D/MC # 6969
Original License Date: 10/01/1994Entity: corporation
Tax Status: profit
Total Slots: 160LAAM: Yes
2+2: Yes30 Day TH's: Yes
Page 21
State of CaliforniaNarcotic Treatment Program Directory
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
License # 19-136OTP CA10, 306M
CADDS # C196713D/MC # 6713
Original License Date: 09/12/1995Entity: corporation
Tax Status: nonprofit
Total Slots: 250LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 19-137OTP CA10, 305M
CADDS # C196714D/MC # 6714
Original License Date: 09/12/1995Entity: corporation
Tax Status: nonprofit
Total Slots: 150LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 19-138OTP CA10, 322M
CADDS # C196805D/MC # 6805
Original License Date: 08/21/1997Entity: corporation
Tax Status: profit
Total Slots: 275LAAM: No
2+2: No30 Day TH's: Yes
Page 22
State of CaliforniaNarcotic Treatment Program Directory
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
License # 19-139OTP CA10, 321M
CADDS # C191902D/MC # 1902
Original License Date: 08/15/1997Entity: corporation
Tax Status: profit
Total Slots: 275LAAM: No
2+2: No30 Day TH's: Yes
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
License # 19-140OTP CA10, 314M
CADDS # C196734D/MC # 6734
Original License Date: 01/15/1997Entity: LLC
Tax Status: profit
Total Slots: 125LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 19-141OTP CA10, 316M
CADDS # C196905D/MC # 6905
Original License Date: 04/23/1997Entity: LLC
Tax Status: profit
Total Slots: 215LAAM: Yes
2+2: Yes30 Day TH's: Yes
Page 23
State of CaliforniaNarcotic Treatment Program Directory
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
License # 19-142OTP CA10, 315M
CADDS # C196918D/MC # 6737
Original License Date: 01/31/1997Entity: LLC
Tax Status: profit
Total Slots: 200LAAM: Yes
2+2: Yes30 Day TH's: Yes
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
License # 19-143OTP CA10, 318M
CADDS # C196803D/MC # 1990
Original License Date: 08/19/1997Entity: LLC
Tax Status: profit
Total Slots: 250LAAM: Yes
2+2: Yes30 Day TH's: Yes
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
License # 19-145OTP CA10, 326M
CADDS # 196789D/MC # 6789
Original License Date: 12/14/1999Entity: LLC
Tax Status: profit
Total Slots: 300LAAM: Yes
2+2: Yes30 Day TH's: Yes
Page 24
State of CaliforniaNarcotic Treatment Program Directory
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
License # 19-147OTP CA10, 205M
CADDS # C197085D/MC # 7085
Original License Date: 04/01/2004Entity: corporation
Tax Status: profit
Total Slots: 300LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 19-147DOTP CA10, 205M
CADDS # 197309D/MC # XXXX
Original License Date: 04/01/2004Entity: corporation
Tax Status: profit
Total Slots: 15LAAM: No
2+2: No30 Day TH's: No
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
License # 19-148OTP CA10, 346M
CADDS # C196965D/MC # 19AP
Original License Date: 07/01/2004Entity: corporation
Tax Status: nonprofit
Total Slots: 300LAAM: No
2+2: Yes30 Day TH's: Yes
Page 25
State of CaliforniaNarcotic Treatment Program Directory
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
License # 19-150OTP CA10, 353M
CADDS # C197128D/MC # 7128
Original License Date: 01/06/2005Entity: Corporation
Tax Status: Profit
Total Slots: 200LAAM: No
2+2: Yes30 Day TH's: No
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
License # 19-151OTP CA10, 351M
CADDS # 197219D/MC # 7219
Original License Date: 05/22/2006Entity: Corporation
Tax Status: Profit
Total Slots: 250LAAM: No
2+2: Yes30 Day TH's: Yes
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
Original License Date: 08/10/1994Entity: Corporation
Tax Status: nonprofit
Total Slots: 135LAAM: No
2+2: No30 Day TH's: No
Page 26
State of CaliforniaNarcotic Treatment Program Directory
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
License # 19-153OTP CA10, 142M
CADDS # 191927D/MC # 6746
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 275LAAM: No
2+2: Yes30 Day TH's: No
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
License # 19-154OTP CA10, 206M
CADDS # 191915D/MC # 6745
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 225LAAM: No
2+2: Yes30 Day TH's: No
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
License # 19-155OTP CA10, 196M
CADDS # 196999D/MC # 6752
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 250LAAM: No
2+2: Yes30 Day TH's: No
Page 27
State of CaliforniaNarcotic Treatment Program Directory
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
License # 19-156OTP CA10, 213M
CADDS # 191956D/MC # 6747
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 230LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 19-157OTP CA10, 225M
CADDS # 191973D/MC # 6750
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 350LAAM: No
2+2: Yes30 Day TH's: No
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
License # 19-158OTP CA10, 200M
CADDS # 191974D/MC # 6751
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 300LAAM: No
2+2: Yes30 Day TH's: No
Page 28
State of CaliforniaNarcotic Treatment Program Directory
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
License # 19-159OTP CA10, 277M
CADDS # 191972D/MC # 6749
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 150LAAM: No
2+2: Yes30 Day TH's: No
Page 29
State of CaliforniaNarcotic Treatment Program Directory
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
License # 21-70OTP CA10, 075M
CADDS # D212173D/MC # 2173
Original License Date: 01/01/1983Entity: corporation
Tax Status: nonprofit
Total Slots: 215LAAM: No
2+2: Yes30 Day TH's: Yes
Page 30
State of CaliforniaNarcotic Treatment Program Directory
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
License # 24-02OTP CA10, 357M
CADDS # 242412D/MC # 2412
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 300LAAM: No
2+2: Yes30 Day TH's: No
Page 31
State of CaliforniaNarcotic Treatment Program Directory
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.
License # 27-04OTP CA10, 202M
CADDS # D272735D/MC # 2735
Original License Date: 12/28/1982Entity: corporation
Tax Status: nonprofit
Total Slots: 225LAAM: Yes
2+2: Yes30 Day TH's: No
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
License # 27-07OTP CA10, 281M
CADDS # 272799D/MC # 2799
Original License Date: 04/07/1992Entity: corporation
Tax Status: nonprofit
Total Slots: 60LAAM: No
2+2: No30 Day TH's: No
Page 32
State of CaliforniaNarcotic Treatment Program Directory
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
License # 30-09OTP CA10, 194M
CADDS # D303097D/MC # 3097
Original License Date: 01/01/1983Entity: Corporation
Tax Status: profit
Total Slots: 610LAAM: No
2+2: No30 Day TH's: Yes
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
License # 30-10OTP CA10, 201M
CADDS # D303098D/MC # 3098
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 400LAAM: Yes
2+2: Yes30 Day TH's: Yes
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
License # 30-11OTP CA10, 211M
CADDS # D303099D/MC # 3099
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 450LAAM: Yes
2+2: Yes30 Day TH's: Yes
Page 33
State of CaliforniaNarcotic Treatment Program Directory
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
License # 30-12OTP CA10, 264M
CADDS # 308023D/MC # xxxx
Original License Date: 05/26/1990Entity: corporation
Tax Status: nonprofit
Total Slots: 75LAAM: No
2+2: Yes30 Day TH's: No
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
License # 30-13OTP CA10, 263M
CADDS # 308022D/MC # xxxx
Original License Date: 01/01/1983Entity: corporation
Tax Status: nonprofit
Total Slots: 75LAAM: No
2+2: No30 Day TH's: No
Page 34
State of CaliforniaNarcotic Treatment Program Directory
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
License # 31-02OTP CA10, 300M
CADDS # 313124D/MC # 3127
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 425LAAM: No
2+2: Yes30 Day TH's: No
Page 35
State of CaliforniaNarcotic Treatment Program Directory
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
License # 33-05OTP CA10, 207M
CADDS # D333390D/MC # 3390
Original License Date: 10/26/1981Entity: corporation
Tax Status: profit
Total Slots: 425LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 33-06OTP CA10, 325M
CADDS # 333337D/MC # 3337
Original License Date: 09/08/1999Entity: corporation
Tax Status: profit
Total Slots: 350LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 33-07OTP CA10, 359M
CADDS # 333385D/MC # 3385
Original License Date: 07/31/2006Entity: Corporation
Tax Status: Profit
Total Slots: 300LAAM: No
2+2: No30 Day TH's: Yes
Page 36
State of CaliforniaNarcotic Treatment Program Directory
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
License # 34-08OTP CA10, 341M
CADDS # C343416D/MC # 34AB
Original License Date: 02/06/2003Entity: Corporation
Tax Status: Profit
Total Slots: 450LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 34-09OTP CA10, 340M
CADDS # 343443D/MC # 34AC
Original License Date: 10/01/2006Entity: Corporation
Tax Status: Profit
Total Slots: 575LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 34-10OTP CA10, 193M
CADDS # 343494D/MC # 34AE
Original License Date: 07/01/2009Entity: Corporation
Tax Status: Profit
Total Slots: 650LAAM: No
2+2: Yes30 Day TH's: Yes
Page 37
State of CaliforniaNarcotic Treatment Program Directory
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
License # 34-11OTP CA10, 274M
CADDS # 343495D/MC # 34AG
Original License Date: 04/01/2013Entity: Corporation
Tax Status: Profit
Total Slots: 850LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 34-12OTP CA10, 274M
CADDS # 343477D/MC # XXXX
Original License Date: 04/01/2013Entity: Corporation
Tax Status: Profit
Total Slots: 20LAAM: No
2+2: No30 Day TH's: No
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
License # 34-13OTP CA10, 293M
CADDS # 343497D/MC # 34AH
Original License Date: 04/01/2013Entity: Corporation
Tax Status: Profit
Total Slots: 700LAAM: No
2+2: Yes30 Day TH's: Yes
Page 38
State of CaliforniaNarcotic Treatment Program Directory
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
License # 34-14OTP CA10, 293M
CADDS # 343478D/MC # XXXX
Original License Date: 04/22/2013Entity: Corporation
Tax Status: Profit
Total Slots: 10LAAM: No
2+2: No30 Day TH's: No
Page 39
State of CaliforniaNarcotic Treatment Program Directory
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
License # 36-05OTP CA10, 036M
CADDS # 363602D/MC # 3602
Original License Date: 05/01/1985Entity: corporation
Tax Status: profit
Total Slots: 540LAAM: Yes
2+2: Yes30 Day TH's: No
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
License # 36-07OTP CA10, 241M
CADDS # 363696D/MC # XXXX
Original License Date: 09/28/1988Entity: government
Tax Status: public
Total Slots: 50LAAM: No
2+2: No30 Day TH's: No
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
License # 36-11OTP CA10, 214M
CADDS # 363650D/MC # 3656
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 340LAAM: No
2+2: Yes30 Day TH's: No
Page 40
State of CaliforniaNarcotic Treatment Program Directory
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
License # 36-12OTP CA10, 295M
CADDS # 363652D/MC # 3657
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 400LAAM: No
2+2: Yes30 Day TH's: No
Page 41
State of CaliforniaNarcotic Treatment Program Directory
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
License # 37-07OTP CA10, 170M
CADDS # 378776D/MC # 8776
Original License Date: 09/15/1978Entity: Corporation
Tax Status: profit
Total Slots: 310LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 37-09OTP CA10, 163M
CADDS # 378780D/MC # 8780
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 340LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 37-14OTP CA10, 176M
CADDS # 378778D/MC # 8778
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 400LAAM: No
2+2: Yes30 Day TH's: Yes
Page 42
State of CaliforniaNarcotic Treatment Program Directory
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
License # 37-15OTP CA10, 177M
CADDS # 378779D/MC # 8779
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 425LAAM: No
2+2: Yes30 Day TH's: Yes
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.
License # 37-16OTP CA10, 175M
CADDS # 378777D/MC # 8777
Original License Date: 01/01/1983Entity: Corporation
Tax Status: profit
Total Slots: 330LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 37-17OTP CA10, 347M
CADDS # 378514D/MC # 8514
Original License Date: 07/07/2004Entity: Corporation
Tax Status: Profit
Total Slots: 240LAAM: No
2+2: Yes30 Day TH's: Yes
Page 43
State of CaliforniaNarcotic Treatment Program Directory
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
License # 37-18OTP CA10, 355M
CADDS # 378523D/MC # 8523
Original License Date: 04/22/2005Entity: Corporation
Tax Status: Profit
Total Slots: 200LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 37-19OTP CA10, 356M
CADDS # 378545D/MC # 8545
Original License Date: 03/15/2006Entity: Incorprated
Tax Status: profit
Total Slots: 250LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 37-20OTP CA10, 365M
CADDS # 378562D/MC # 8562
Original License Date: 09/23/2010Entity: Corporation
Tax Status: Non Profit
Total Slots: 500LAAM: No
2+2: Yes30 Day TH's: No
Page 44
State of CaliforniaNarcotic Treatment Program Directory
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
License # 37-21OTP CA10, 370M
CADDS # 378571D/MC # 8571
Original License Date: 03/12/2012Entity: LLC
Tax Status: Profit
Total Slots: 500LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 37-22OTP CA10, 382M
CADDS # XXXXD/MC # XXXX
Original License Date:Entity: Corporation
Tax Status: For-Profit
Total Slots: 175LAAM: No
2+2: Yes30 Day TH's: Yes
Page 45
State of CaliforniaNarcotic Treatment Program Directory
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
License # 38-04OTP CA10, 099M
CADDS # 383812D/MC # 38AH
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 650LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 38-04DOTP CA10, 222M
CADDS # 383823D/MC # 3823
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 50LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 38-05OTP CA10, 100M
CADDS # 383811D/MC # 38AI
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 750LAAM: Yes
2+2: Yes30 Day TH's: Yes
Page 46
State of CaliforniaNarcotic Treatment Program Directory
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
License # 38-05DOTP CA10, 220M
CADDS # 383822D/MC # 3822
Original License Date: 01/01/1983Entity: corporation
Tax Status: profit
Total Slots: 50LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 38-06OTP CA10, 118M
CADDS # 383816D/MC # 3816
Original License Date: 05/05/1986Entity: corporation
Tax Status: nonprofit
Total Slots: 400LAAM: No
2+2: Yes30 Day TH's: No
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.
License # 38-07OTP CA10, 098M
CADDS # 383813D/MC # 3813
Original License Date: 06/04/1985Entity: government
Tax Status: public
Total Slots: 630LAAM: No
2+2: Yes30 Day TH's: Yes
Page 47
State of CaliforniaNarcotic Treatment Program Directory
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
Total Slots: 40LAAM: No
2+2: No30 Day TH's: No
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
Original License Date: 05/13/2003Entity: Government
Tax Status: public
Total Slots: 25LAAM: No
2+2: No30 Day TH's: No
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
License # 38-07DOTP CA10, 098M
CADDS # 383813D/MC # 3813
Original License Date: 05/13/2003Entity: Government
Tax Status: public
Total Slots: 45LAAM: No
2+2: No30 Day TH's: No
Page 48
State of CaliforniaNarcotic Treatment Program Directory
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
Original License Date: 12/13/2010Entity: Government
Tax Status: Public
Total Slots: 30LAAM: No
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
Original License Date: 05/18/2012Entity: government
Tax Status: public
Total Slots: 10LAAM: No
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
Original License Date: 09/10/2002Entity: government
Tax Status: Public
Total Slots: 270LAAM: Yes
2+2: No30 Day TH's: No
Page 49
State of CaliforniaNarcotic Treatment Program Directory
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
License # 38-21OTP CA10, 092M
CADDS # 383836D/MC # 3836
Original License Date: 10/11/2007Entity: LLC
Tax Status: profit
Total Slots: 350LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 38-22OTP CA10, 364M
CADDS # 388907D/MC # 8907
Original License Date: 11/03/2010Entity: Corporation
Tax Status: Profit
Total Slots: 200LAAM: No
2+2: Yes30 Day TH's: No
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
License # 38-80OTP CA10, 064M
CADDS # 383887D/MC # 3887
Original License Date: 01/01/1983Entity: corporation
Tax Status: nonprofit
Total Slots: 350LAAM: No
2+2: Yes30 Day TH's: No
Page 50
State of CaliforniaNarcotic Treatment Program Directory
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
License # 39-04OTP CA10, 348M
CADDS # 393910D/MC # 3910
Original License Date: 12/08/2004Entity: corporation
Tax Status: profit
Total Slots: 350LAAM: No
2+2: Yes30 Day TH's: No
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
License # 39-06OTP CA10, 358M
CADDS # 393949D/MC # 3949
Original License Date: 11/14/2005Entity: Corporation
Tax Status: Profit
Total Slots: 350LAAM: No
2+2: Yes30 Day TH's: No
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
License # 39-07OTP CA10, 349M
CADDS # 393953D/MC # 39AC
Original License Date: 10/01/2006Entity: Corporation
Tax Status: Profit
Total Slots: 750LAAM: No
2+2: Yes30 Day TH's: Yes
Page 51
State of CaliforniaNarcotic Treatment Program Directory
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
License # 39-08OTP CA10, 374M
CADDS # 393959D/MC # 39AD
Original License Date: 10/05/2012Entity: Corporation
Tax Status: Profit
Total Slots: 200LAAM: No
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
License # 39-09OTP CA10, 290M
CADDS # 393999D/MC # 3974
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 500LAAM: No
2+2: Yes30 Day TH's: No
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
License # 39-10OTP CA10, 380M
CADDS # XXXXD/MC # XXXX
Original License Date: 08/18/2014Entity: Corporation
Tax Status: For Profit
Total Slots: 150LAAM: No
2+2: Y30 Day TH's: No
Page 52
State of CaliforniaNarcotic Treatment Program Directory
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
License # 40-02OTP CA10, 253M
CADDS # 404002D/MC # 4003
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 225LAAM: No
2+2: Yes30 Day TH's: No
Page 53
State of CaliforniaNarcotic Treatment Program Directory
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
License # 41-05OTP CA10, 330M
CADDS # 414196D/MC # 4196
Original License Date: 12/15/2011Entity: Corporation
Tax Status: Profit
Total Slots: 400LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 41-06OTP CA10, 330M
CADDS # 414195D/MC # 4195
Original License Date: 12/15/2011Entity: Corporation
Tax Status: Profit
Total Slots: 100LAAM: No
2+2: Yes30 Day TH's: Yes
Page 54
State of CaliforniaNarcotic Treatment Program Directory
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
License # 42-07OTP CA10, 126M
CADDS # 424211D/MC # 4269
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 425LAAM: No
2+2: Yes30 Day TH's: No
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.
License # 42-08OTP CA10, 311M
CADDS # 424209D/MC # 4272
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 350LAAM: No
2+2: Yes30 Day TH's: No
Page 55
State of CaliforniaNarcotic Treatment Program Directory
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.
License # 43-01OTP CA10, 070M
CADDS # 434397D/MC # 4397
Original License Date: 01/01/1983Entity: government
Tax Status: public
Total Slots: 650LAAM: No
2+2: Yes30 Day TH's: Yes
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
Original License Date: 03/03/1997Entity: government
Tax Status: public
Total Slots: 30LAAM: No
2+2: No30 Day TH's: No
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.
License # 43-05OTP CA10, 072M
CADDS # 434394D/MC # 4394
Original License Date: 10/31/1983Entity: government
Tax Status: public
Total Slots: 150LAAM: No
2+2: Yes30 Day TH's: Yes
Page 56
State of CaliforniaNarcotic Treatment Program Directory
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.
License # 43-07OTP CA10, 369M
CADDS # 434371D/MC # 4371
Original License Date: 05/03/2011Entity: Government
Tax Status: Public
Total Slots: 250LAAM: No
2+2: Yes30 Day TH's: Yes
Page 57
State of CaliforniaNarcotic Treatment Program Directory
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
License # 44-05OTP CA10, 350M
CADDS # 444460D/MC # 44AB
Original License Date: 10/01/2004Entity: corporation
Tax Status: nonprofit
Total Slots: 415LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 44-06OTP CA10, 375M
CADDS # XXXXXXD/MC # XXXX
Original License Date: 12/03/2013Entity: Corporation
Tax Status: Non Profit
Total Slots: 140LAAM: No
2+2: No30 Day TH's: No
Page 58
State of CaliforniaNarcotic Treatment Program Directory
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
License # 48-03OTP CA10, 334M
CADDS # 484806D/MC # 48AA
Original License Date: 10/01/2006Entity: Corporation
Tax Status: Profit
Total Slots: 300LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 48-04OTP CA10, 337M
CADDS # 484826D/MC # 4826
Original License Date: 05/14/2009Entity: Corporation
Tax Status: Profit
Total Slots: 230LAAM: No
2+2: Yes30 Day TH's: Yes
Page 59
State of CaliforniaNarcotic Treatment Program Directory
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
License # 49-02OTP CA10, 228M
CADDS # 494950D/MC # 49AC
Original License Date: 09/13/1989Entity: corporation
Tax Status: profit
Total Slots: 450LAAM: Yes
2+2: Yes30 Day TH's: Yes
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
License # 49-03OTP CA10, 278M
CADDS # 494909D/MC # 4909
Original License Date: 07/31/1991Entity: corporation
Tax Status: nonprofit
Total Slots: 200LAAM: No
2+2: Yes30 Day TH's: Yes
Page 60
State of CaliforniaNarcotic Treatment Program Directory
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
License # 50-01OTP CA10, 086M
CADDS # 505014D/MC # 5014
Original License Date: 01/01/1983Entity: government
Tax Status: public
Total Slots: 170LAAM: No
2+2: Yes30 Day TH's: No
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
License # 50-03OTP CA10, 299M
CADDS # 505021D/MC # 5008
Original License Date: 01/01/2099Entity: LLC
Tax Status: Profit
Total Slots: 650LAAM: No
2+2: Yes30 Day TH's: No
Page 61
State of CaliforniaNarcotic Treatment Program Directory
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
License # 51-04OTP CA10, 338M
CADDS # 585802D/MC # 58AC
Original License Date: 04/09/2012Entity: Corporation
Tax Status: Profit
Total Slots: 425LAAM: No
2+2: Yes30 Day TH's: Yes
Page 62
State of CaliforniaNarcotic Treatment Program Directory
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
License # 51-05OTP CA10, 289M
CADDS # 585899D/MC # 58AD
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 250LAAM: No
2+2: Yes30 Day TH's: No
Page 63
State of CaliforniaNarcotic Treatment Program Directory
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
License # 54-01OTP CA10, 097M
CADDS # 545476D/MC # 5476
Original License Date: 01/01/1983Entity: corporation
Tax Status: nonprofit
Total Slots: 180LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 54-02OTP CA10, 344M
CADDS # 545439D/MC # 5439
Original License Date: 02/17/2004Entity: corporation
Tax Status: profit
Total Slots: 750LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 54-02DOTP CA10, 344M
CADDS # 545443D/MC # XXXX
Original License Date: 02/17/2004Entity: corporation
Tax Status: profit
Total Slots: 75LAAM: No
2+2: No30 Day TH's: No
Page 64
State of CaliforniaNarcotic Treatment Program Directory
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
License # 56-08OTP CA10, 323M
CADDS # C565613D/MC # 5613
Original License Date: 11/18/1998Entity: corporation
Tax Status: profit
Total Slots: 400LAAM: No
2+2: Yes30 Day TH's: Yes
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
License # 56-09OTP CA10, 174M
CADDS # 565660D/MC # 5605
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 600LAAM: No
2+2: Yes30 Day TH's: No
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
License # 56-10OTP CA10, 236M
CADDS # 565665D/MC # 5606
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 360LAAM: No
2+2: Yes30 Day TH's: No
Page 65
State of CaliforniaNarcotic Treatment Program Directory
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
License # 56-11OTP CA10, 298M
CADDS # 565607D/MC # 5603
Original License Date: 01/11/2014Entity: LLC
Tax Status: Profit
Total Slots: 300LAAM: No
2+2: Yes30 Day TH's: No
Page 66