Organization · Type 2 NPI

Avery Lane

Substance Abuse Rehabilitation Facility · Novato, CA

NPI number 1801526975 Active

Practice location

2500 Vineyard Rd
Novato, CA 94947-3633

Call (415) 895-5360 Map

Mailing address

505A San Marin Dr Ste 300
Novato, CA 94945-1321

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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 1801526975

Avery Lane's National Provider Identifier is 1801526975, issued on Jun 13, 2022. 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 Jun 13, 2022.