Organization Name: | HELEN VINE RECOVERY CENTER |
NPI Number: | 1003206228 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERESA BOWMAN (DIRECTOR) |
Mailing Address: | 301 Smith Ranch Rd San Rafael |
State: | CA US |
Postal Code: | 949035551 |
Phone Number: | 4154920818 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2015 |
NPI Last Update Date: | 05/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 210017DN |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |