AVERY LANE is a rehabilitation and substance use disorder clinic center in Novato, CA. AVERY LANE NPI is 1922552496. The provider is registered as an organization entity type.
The provider's business location address is:
505 SAN MARIN DR
SUITE 300
NOVATO, CA
ZIP 94945-309
Phone: (415) 686-6127
The provider's authorized official is Camille Hildebrand .
The authorized official title is Ceo/fonder and has the following contact phone number (415) 686-6127.
The CLIA number assigned to this NPI record is 05D2127762 - other - op sub.abuse trtmnt facil with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/12/2016 and was last updated on 10/17/2023.