Alta Mira Recovery Centers, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

210040FP Issued in CA

Legal business name

ALTA MIRA RECOVERY CENTERS, LLC

Practice address

591 Redwood Hwy Frontage Rd Ste 5220
Mill Valley, CA 94941-3064

Phone

(415) 275-7226

NPI assigned

Jul 16, 2015

Last updated

Aug 9, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Morrison

Title

Ceo

Phone

(415) 339-6081

Specialties & licenses 1

Addresses

Tax ID family

Alta Mira Recovery Centers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alta Mira Recovery Programs

  • Substance Abuse Rehabilitation Facility
  • Sausalito, CA
  • NPI 1669764908
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439078400000",
    "number": "1457735714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 REDWOOD HWY FRONTAGE RD STE 5220",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 REDWOOD HWY FRONTAGE RD STE 5220",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413064",
            "telephone_number": "415-275-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA MIRA RECOVERY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-08-09",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-339-6081",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "210040FP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.