Organization · Type 2 NPI

Avery Lane

Substance Abuse Rehabilitation Facility · Novato, CA

NPI number 1275178014 Active

Practice location

685 Atherton Ave
Novato, CA 94945-2617

Call (415) 408-3480 Map

Fax (415) 895-5297

Mailing address

505 San Marin Dr Ste A300
Novato, CA 94945-1351

Other practice locations

687 Atherton Ave, Novato, CA 94945-2617 · (415) 408-3480

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1275178014

Avery Lane's National Provider Identifier is 1275178014, issued on Nov 15, 2019. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Novato, CA. The record was last updated on Sep 23, 2026.