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
1	324500000X	Substance Abuse Rehabilitation Facility	210002HN	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	210002HN	OTHER	CA	STATE LICENSE

General Provider Information

NPI Number	:	1760601355
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	:	812 D ST
Second Line	:
City	:	SAN RAFAEL
State	:	CA
Zip	:	94901-2814
Country	:	US
Telephone Number	:	415-492-4444
Fax Number	:	415-492-8844

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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Directions to “CENTER POINT, INC. ” Practice Location

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