Organization · Type 2 NPI

Greenacre Homes, Inc.

Mental Illness Community Based Residential Treatment Facility · Sebastopol, CA

NPI number 1467118380 Active

Practice location

8211 Occidental Rd
Sebastopol, CA 95472-6424

Call (707) 823-0536 Map

Mailing address

438 Eddie Ln
Sebastopol, CA 95472-3425

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.

Another provider at this address

Anthony EzirmCounselor Sebastopol, CA NPI 1215665583

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NPI record

NPI: 1467118380
Entity type: Organization (Type 2)
Issued: Nov 15, 2021
Last updated: Nov 18, 2021
Status: Active
Subpart: Yes of Greenacre Homes and School

Other names

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Greenacre Homes & School · doing business as
Occidental · doing business as

Authorized official

Rich Aguirre
Administrative Director
(707) 823-8722

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467118380

Greenacre Homes, Inc.'s National Provider Identifier is 1467118380, issued on Nov 15, 2021. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Sebastopol, CA. The record was last updated on Nov 18, 2021.