Whalio Doctors

NPI 1003206228

Helen Vine Recovery Center

Organisation Substance Abuse Rehabilitation Facility San Rafael, CA

Practice location

Address
291 Smith Ranch Rd, San Rafael, CA 94903-5551
Phone
(415) 492-0818
Mailing address
201 Alameda del Prado STE 103, Novato, CA 94949-6698

Authorised official

Name
John Christopher Kughn
Title
Ceo
Phone
(415) 457-6964

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 210017DN (CA)

Registry record

NPI
1003206228
Entity type
Organization
NPI issued
26 Jan 2015
Record last updated
4 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.