| Organization Name: | ALTA MIRA RECOVERY PROGRAMS |
| NPI Number: | 1669764908 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERLYNE SHORT-MAJORS (EXECUTIVE DIRECTOR) |
| Mailing Address: | 125 Bulkley Ave Sausalito |
| State: | CA US |
| Postal Code: | 949652231 |
| Phone Number: | 4153321350 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2011 |
| NPI Last Update Date: | 02/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |