Organization
BRYAN'S HOUSE RECOVERY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA LEA WORTLEY LAADC (DIRECTOR)
(805) 464-4660
Entity
Organization
Contact information
Practice address
5655 ARDILLA AVE, ATASCADERO, CA 93422-3222
(805) 460-6621
(866) 306-5825
Mailing address
7760 WHISPERING TRAILS PL, PASO ROBLES, CA 93446-6396
(805) 674-3131
(866) 306-5825
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093914152
—
CA
Enumeration date
11/09/2018
Last updated
06/04/2025
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