Organization
WAY HOME DETOX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK BLAIR ANDERSON (CEO)
(415) 233-3158
Entity
Organization
Contact information
Practice address
608 HUDIS ST, ROHNERT PARK, CA 94928-1343
(707) 237-8472
Mailing address
608 HUDIS ST, ROHNERT PARK, CA 94928-1343
(707) 237-8472
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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