Corte Madera Rehab LLC
NPI #1740023761 in Corte Madera, California
Provider Information
- NPI Number
- 1740023761
- Entity Type
- Organization
- Organization Name
- Corte Madera Rehab LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jun 17, 2024
- Last Updated
- Jun 21, 2024
Practice Location
- Address
- 100 TAMAL PLZ STE 105
- City
- Corte Madera
- State
- California
- ZIP Code
- 94925-1165
- Phone
- (310) 343-8684
Authorized Official
- Name
- SHAINA DONNER
- Title
- OWNER
- Phone
- (310) 343-8684
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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