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Avery Lane
Substance Abuse Rehabilitation Facility in Novato, California
NPI 1275178014

Avery Lane is a Substance Abuse Rehabilitation Facility based in Novato, CA. Avery Lane practices in Novato, CA. The NPI Number for Avery Lane is 1275178014 and holds a License No. (California).

The current practice location address for Avery Lane is 685 Atherton Ave, Novato, CA and can be reached out via phone at 415-408-3480 and via fax at 415-895-5297.

Location: 685 Atherton Ave, Novato, CA, 94945-1351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275178014
Provider Name
Avery Lane
Credential
Provider Entity Type
Organization
Address
685 Atherton Ave, Novato, CA, 94945-1351
Phone Number
415-408-3480
Fax Number
415-895-5297
Provider Enumeration Date
11/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
685 Atherton Ave
City
Novato
State
California
Zip
94945-2617
Phone Number
415-408-3480
Fax Number
415-895-5297
person
Provider Business Mailing Address Details
Address
685 Atherton Ave
City
Novato
State
California
Zip
94945-2617
Phone Number
415-408-3480
Fax Number
415-895-5297
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
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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