Helen Vine Recovery Center

NPI 1003206228 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1003206228
Enumeration Date 01/26/2015
Last Updated 07/08/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name TERESA TERESA
Position DIRECTOR
Phone (415) 492-0818
Fax
Practice Location
301 SMITH RANCH RD
SAN RAFAEL CA, 94903-5551, US
Phone (415) 492-0818
Fax
Business Location
301 SMITH RANCH RD
SAN RAFAEL CA, 94903-5551, US
Phone (415) 492-0818
Fax
Toxanomy
Taxonomy Code 324500000X
License State California
License Number 210017DN
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According to our database, Helen Vine Recovery Center NPI is 1003206228, taxonomy code is 324500000X and license number is 210017DN, license state is located at California. Helen Vine Recovery Center physically located at 301 Smith Ranch Rd, San Rafael CA, 94903-5551. NPI Number 1033115704 has the healthcare provider type.

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1003206228 NPI number is provided on an as is basis without warranty of any kind. 1003206228 is maintained by the National Plan & Provider Enumeration System. The contents of Helen Vine Recovery Center are for informational purposes only.