institution
Avery Lane
Substance Abuse Rehabilitation Facility in Novato, California
NPI 1922693720

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 1922693720 and holds a License No. (California).

The current practice location address for Avery Lane is 133 Maestro Rd, Novato, CA and can be reached out via phone at 415-895-5360 and via fax at 415-895-5053.

Location: 133 Maestro Rd, Novato, CA, 94945-1321
institution
Provider Profile Details
NPI Number
1922693720
Provider Name
Avery Lane
Credential
Provider Entity Type
Organization
Address
133 Maestro Rd, Novato, CA, 94945-1321
Phone Number
415-895-5360
Fax Number
415-895-5053
Provider Enumeration Date
03/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
133 Maestro Rd
City
State
Zip
94947-4217
Phone Number
415-895-5360
Fax Number
415-895-5053
person
Provider Business Mailing Address Details
Address
133 Maestro Rd
City
State
Zip
94947-4217
Phone Number
415-895-5360
Fax Number
415-895-5053
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
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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