Avery Lane
Avery Lane is a Mental Illness Community Based Residential Treatment Facility in Novato, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
200 Atherton AveNovato, CA 94945-3458
Phone: (415) 895-5360
Fax: (415) 895-5053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|
Record details
| NPI number | 1306568373 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Camille Hildebrand — Ceo · (415) 686-6127 |
| NPI enumerated | September 15, 2022 |
| Last updated in NPPES | October 17, 2023 |
| Certification date | October 17, 2023 |
| Mailing address | 505a San Marin Dr Ste 300, Novato, CA 94945-1321 |