| Boyd Recovery Llc | |
|
6 Petaluma Blvd N Ste A7&a8 Petaluma CA 94952-3050 | |
| (714) 642-2404 | |
| Not Available |
| Full Name | Boyd Recovery Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6 Petaluma Blvd N Ste A7&a8, Petaluma, California |
| Authorized Official Name and Position | Brandon Martin (COMPLIANCE DIRECTOR) |
| Authorized Official Contact | 7149166681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boyd Recovery Llc 6 Petaluma Blvd N Ste A7 Petaluma CA 94952-3027 Ph: () - | Boyd Recovery Llc 6 Petaluma Blvd N Ste A7&a8 Petaluma CA 94952-3050 Ph: (714) 642-2404 |
| NPI Number | 1306621917 |
|---|---|
| Provider Enumeration Date | 08/30/2023 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306621917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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