Organization
LIVE OAKS WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY HEIM (PARTNER)
(858) 342-9151
Entity
Organization
Contact information
Practice address
684 WILSON AVE, NOVATO, CA 94947-3840
(925) 595-0871
Mailing address
684 WILSON AVE, NOVATO, CA 94947-3840
(925) 595-0871
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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