Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Summit Sober Living Inc

Organization Case Management Agency · NPI 1659218444

Summit Sober Living Inc is a Case Management Agency in San Rafael, California. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

851 Irwin St Ste 302
San Rafael, CA 94901-3343
Phone: (415) 686-5783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 191 Kenwood Ct, Novato, CA 94945-2563 — (415) 686-5783

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Case Management Agency Taxonomy 251B00000X

Record details

NPI number1659218444
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Triolo — Ceo · (415) 686-5783
NPI enumeratedApril 30, 2026
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026
Mailing address8 Creekside Ct, Novato, CA 94945-2150

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