Organization
GOLDEN GROVE VIOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIDAN NEWHALL (CEO)
(857) 208-1122
Entity
Organization
Contact information
Practice address
505 SAN MARIN DR # 220B, NOVATO, CA 94945-1309
(857) 208-1122
Mailing address
2708 TIKI RD, NOVATO, CA 94945-1534
(857) 208-1122
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/19/2026
Last updated
04/20/2026
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