Organization · Type 2 NPI
Avery Lane
Mental Illness Community Based Residential Treatment Facility · Novato, CA
NPI number
1306568373
Active
Practice location
200 Atherton Ave
Novato, CA 94945-3458
Fax (415) 895-5053
Mailing address
505A San Marin Dr Ste 300
Novato, CA 94945-1321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Other mental illness community based residential treatment facility providers in Novato
About NPI 1306568373
Avery Lane's National Provider Identifier is 1306568373, issued on Sep 15, 2022. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Novato, CA. The record was last updated on Oct 17, 2023.