Organization · Type 2 NPI

Avery Lane

Substance Abuse Rehabilitation Facility · Novato, CA

NPI number 1922693720 Active

Practice location

133 Maestro Rd
Novato, CA 94947-4217

Call (415) 895-5360 Map

Fax (415) 895-5053

Mailing address

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

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 1922693720

Avery Lane's National Provider Identifier is 1922693720, issued on Mar 3, 2021. 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 Oct 17, 2023.