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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 Facility370075ANCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1370075ANOTHERCASTATE ADP LICENSE

General Provider Information

NPI Number : 1740401157
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 : 3050 ARMSTRONG ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-5702
Country : US
Telephone Number : 858-874-6599
Fax Number : 858-467-6729
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : DR. SUSHMA D TAYLOR
Credential : PH.D.
Telephone Number : 415-492-4444
Provider Enumeration Date : 05/01/2007
Last Update Date : 08/22/2020

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Directions to “CENTER POINT, INC. ” Practice Location

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