Organization
SAFE PASSAGE RECOERVY LLC
Active
Other names
Safe Passage Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ASHLEY FISCHER (COO)
(415) 686-6215
Entity
Organization
Contact information
Practice address
880 LAS GALLINAS AVE STE 2, SAN RAFAEL, CA 94903-3437
(415) 578-2069
(415) 578-2823
Mailing address
1005 NORTHGATE DR # 174, SAN RAFAEL, CA 94903-2500
(415) 578-2069
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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