Healthcare Provider Details
I. General information
NPI: 1235633728
Provider Name (Legal Business Name): CENTER POINT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2018
Last Update Date: 03/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2100 NAPA VALLEJO HWY
NAPA CA
94558-6234
US
IV. Provider business mailing address
135 PAUL DR
SAN RAFAEL CA
94903-2023
US
V. Phone/Fax
- Phone: 415-526-2942
- Fax:
- Phone: 415-526-2942
- Fax: 415-492-8844
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARC
JAY
HERING
Title or Position: VICE PRESIDENT
Credential:
Phone: 415-526-2942