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SONOMA RECOVERY SERVICES LLC NPI 1760732002


NPI Information

NPI: 1760732002
Provider Name: SONOMA RECOVERY SERVICES, LLC

Other Name: OLYMPIA HOUSE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
11207 VALLEY FORD RD
PETALUMA, CA
ZIP 94952
Phone: (707) 795-7609
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SONOMA RECOVERY SERVICES, LLC is a substance abuse rehabilitation facility in Petaluma, 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. SONOMA RECOVERY SERVICES, LLC NPI is 1760732002. The provider is registered as an organization entity type.
The provider Other Name Is Olympia House.

The provider's business location address is:

11207 VALLEY FORD RD
PETALUMA, CA
ZIP 94952-700
Phone: (707) 795-7609

The provider's authorized official is Wayne C Thurston .
The authorized official title is Managing Member/executive Director and has the following contact phone number (707) 795-7609.

The enumeration date for this NPI number is 9/13/2012 and was last updated on 9/13/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityCALIFORNIAYes

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: 4/28/2024

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