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Mr. Eric Joseph Peters SR.
Substance Abuse Rehabilitation Facility in Novato, California
NPI 1912375254

Eric Joseph Peters SR. is a Substance Abuse Rehabilitation Facility based in San Rafael, CA. Eric Joseph Peters SR. practices in Novato, CA. The NPI Number for Eric Joseph Peters SR. is 1912375254 and holds a License No. P0809051024 (California).

The current practice location address for Eric Joseph Peters SR. is 629 Wilson Ave, Novato, CA and can be reached out via phone at 415-492-0818 and via fax at 415-492-0834.

Location: 629 Wilson Ave, Novato, CA, 94903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912375254
Provider Name
Eric Joseph Peters SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
629 Wilson Ave, Novato, CA, 94903
Phone Number
415-492-0818
Fax Number
415-492-0834
Provider Enumeration Date
09/03/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N5526983 05 CA
institution
Provider Business Practice Location Address Details
Address
629 Wilson Ave
City
Novato
State
California
Zip
94947-3823
Phone Number
415-492-0818
Fax Number
415-492-0834
person
Provider Business Mailing Address Details
Address
629 Wilson Ave
City
Novato
State
California
Zip
94947-3823
Phone Number
415-492-0818
Fax Number
415-492-0834
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
P0809051024 (California)
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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