Alta Mira Recovery Programs

Key facts

NPI

1669764908

Entity type

Organization (NPI type 2)

Primary specialty

Substance Abuse Rehabilitation Facility 324500000X

License

210034CP (CA)

Legal business name

ALTA MIRA RECOVERY PROGRAMS

Practice address

125 Bulkley Ave
Sausalito, CA 94965-2231

Phone

(415) 332-1350

NPI assigned

May 4, 2011

Organization subpart

No

Authorized official

Name

Wesley Stephenson

Title

Vice President of Finance

Phone

(619) 820-0034

Corporate family (same tax ID) 1

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

• Alta Mira Recovery Centers, LLC Substance Use Disorder Rehabilitation Clinic/Center · Mill Valley, CA · NPI 1457735714
  NPD tax ID

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

National Provider Directory

Tax ID family

Alta Mira Recovery Centers LLC (2 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

Other providers in Sausalito, CA

• Mason Aguila, PT, DPT
• Aditi Ahlawat, M.D.
• Nadine Aldahhan, DO
• Sharif Ali, LMFT
• Rachel Alt, MD
• Alta Mira Treatment Centers
• Jill Louise Anderson, PSYD
• Andrea Nichelle Young
• Andrea Young DO, Inc
• Lisa Renee Angstenberger, L. AC.

All providers in Sausalito, CA · Substance Abuse Rehabilitation Facility in California