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HELEN VINE RECOVERY CENTER NPI 1003206228

NPI Profile

NPI: 1003206228
Provider Name: HELEN VINE RECOVERY CENTER
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
291 SMITH RANCH RD
SAN RAFAEL, CA
ZIP 94903
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Phone: (415) 492-0818

HELEN VINE RECOVERY CENTER 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. HELEN VINE RECOVERY CENTER NPI is 1003206228. The provider is registered as an organization entity type.

The provider's business location address is:

291 SMITH RANCH RD
SAN RAFAEL, CA
ZIP 94903-551
Phone: (415) 492-0818

The provider's authorized official is James Mensing .
The authorized official title is Director - Quality & Compliance and has the following contact phone number (415) 302-1423.

The enumeration date for this NPI number is 1/26/2015 and was last updated on 5/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility210017DNCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/31/2020

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