LIVING AT REFLECTIONS LLC NPI 1174862064

NPI Information

  • NPI: 1174862064
  • Provider Name: LIVING AT REFLECTIONS LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 05D2142174
  • Address: 1191 SIMMONS LN
    NOVATO, CA
    ZIP 94945
  • Phone: (415) 891-8000

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NPI Details

LIVING AT REFLECTIONS LLC is a substance abuse rehabilitation facility in Novato, 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. LIVING AT REFLECTIONS LLC NPI is 1174862064. The provider is registered as an organization entity type.

The provider's business location address is:

1191 SIMMONS LN
NOVATO, CA
ZIP 94945-735
Phone: (415) 891-8000

The provider's authorized official is Dina Young .
The authorized official title is Director Of Finance and has the following contact phone number (415) 891-8000.

The CLIA number assigned to this NPI record is 05D2142174 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2013 and was last updated on 4/19/2016.

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 Facility210038APCALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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