Organization
ALPHA RECOVERY CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MACCUTCHEON (OWNER)
(848) 456-9115
Entity
Organization
Contact information
Practice address
11171 PRESILLA RD, SANTA ROSA VALLEY, CA 93012-8877
(848) 456-9115
Mailing address
11171 PRESILLA RD, SANTA ROSA VALLEY, CA 93012-8877
(848) 456-9115
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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