HEARTWOOD HOUSE LLC NPI 1386269660

NPI Information

HEARTWOOD HOUSE LLC is a substance abuse rehabilitation facility in San Rafael, CA. The provider is 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. HEARTWOOD HOUSE LLC NPI is 1386269660. The provider is registered as an organization entity type.

The provider's business location address is:

8 CIRCLE RD
SAN RAFAEL, CA
ZIP 94903-821
Phone: (415) 419-8816

The provider's authorized official is Michael Thomas Dempsey .
The authorized official title is Executive Director and has the following contact phone number (415) 867-7143.

The CLIA number assigned to this NPI record is 05D2220049 - other - resid detox facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2020 and was last updated on 6/11/2020.

Taxonomy Codes

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