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Healthcare Organization Stored source record

HELEN VINE RECOVERY CENTER

291 SMITH RANCH RD, SAN RAFAEL, CA, 949035551

atlas:atm_npi_1003206228

Block 1002Block Group 1Census Tract 1060.01Marin CountyCaliforniaUnited States

What is stored

phone
415-492-0818
status
A
address
291 SMITH RANCH RD, SAN RAFAEL, CA, 949035551
npi
1003206228
license
210017DN
taxonomy
Substance Abuse Rehabilitation Facility
other names
[]
last updated
2024-03-04
license state
CA
taxonomy code
324500000X
all taxonomies
["Substance Abuse Rehabilitation Facility"]
enumeration date
2015-01-26
enumeration type
NPI-2
practice locations
0
authorized official
JOHN KUGHN
organizational subpart
YES

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{
  "npi": "1003206228",
  "phone": "415-492-0818",
  "status": "A",
  "address": "291 SMITH RANCH RD, SAN RAFAEL, CA, 949035551",
  "license": "210017DN",
  "taxonomy": "Substance Abuse Rehabilitation Facility",
  "other_names": [],
  "last_updated": "2024-03-04",
  "license_state": "CA",
  "taxonomy_code": "324500000X",
  "all_taxonomies": [
    "Substance Abuse Rehabilitation Facility"
  ],
  "enumeration_date": "2015-01-26",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "JOHN KUGHN",
  "organizational_subpart": "YES"
}