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NPI Code Detail

MEDICARE: CENTER POINT, INC

MEDICARE: CENTER POINT, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility210002FNCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1210002FNOTHERCASTATE LICENSE

General Provider Information

NPI Number : 1851510440
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER POINT, INC
Provider Business Mailing Address
First Line : 135 PAUL DR
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94903-2023
Country : US
Telephone Number : 415-492-4444
Fax Number : 415-492-8844
Provider Business Practice Location Address
First Line : 1477 LINCOLN AVE
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94901-2028
Country : US
Telephone Number : 415-459-2395
Fax Number : 415-459-1292
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : DR. SUSHMA D TAYLOR
Credential : PH.D.
Telephone Number : 415-492-4444
Provider Enumeration Date : 04/24/2007
Last Update Date : 08/22/2020

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