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Avery Lane
Substance Use Disorder Rehabilitation Clinic/Center in Novato, California
NPI 1922552496

Avery Lane is a Substance Use Disorder Rehabilitation Clinic/Center based in Novato, CA and is specialized in Rehabilitation, Substance Use Disorder. Avery Lane practices in Novato, CA. The NPI Number for Avery Lane is 1922552496 and holds a License No. (California).

The current practice location address for Avery Lane is 505 San Marin Dr, Novato, CA and can be reached out via phone at 415-686-6127.

Location: 505 San Marin Dr, Novato, CA, 94945-1351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922552496
Provider Name
Avery Lane
Credential
Provider Entity Type
Organization
Address
505 San Marin Dr, Novato, CA, 94945-1351
Phone Number
415-686-6127
Fax Number
Provider Enumeration Date
08/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
505 San Marin Dr
City
Novato
State
California
Zip
94945-1309
Phone Number
415-686-6127
Fax Number
person
Provider Business Mailing Address Details
Address
505 San Marin Dr
City
Novato
State
California
Zip
94945-1309
Phone Number
415-686-6127
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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