Organization
GOLDEN GATE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY HEIM (CEO)
(858) 342-9151
Entity
Organization
Contact information
Practice address
505 SAN MARIN DR STE 240B, NOVATO, CA 94945-1309
(650) 773-1775
Mailing address
505 SAN MARIN DR STE 240B, NOVATO, CA 94945-1309
(858) 342-9151
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210052AP
DHCS
CA
Enumeration date
03/02/2021
Last updated
08/12/2022
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