Organization
NORTH BAY RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER KNIGHT (CEO)
(415) 454-4357
Entity
Organization
Contact information
Practice address
55 SHAVER ST, SAN RAFAEL, CA 94901-2787
(415) 454-4357
(415) 454-4329
Mailing address
55 SHAVER ST, SAN RAFAEL, CA 94901-2787
(415) 454-4357
(415) 454-4329
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
09/26/2013
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