Organization
HEARTWOOD HOUSE LLC
Active
Parent organization
HEARTWOOD HOUSE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTWOOD HOUSE LLC
Authorized official
MICHAEL DEMPSEY (EXECUTIVE DIRECTOR)
(415) 867-7143
Entity
Organization
Contact information
Practice address
771 ROWLAND BLVD, NOVATO, CA 94947-4647
(415) 419-8816
(415) 651-4459
Mailing address
8 CIRCLE RD, SAN RAFAEL, CA 94903-3821
(415) 419-8816
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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