Bryan'S House Recovery Home

LBN: Bryan'S House Recovery Home
Bryan'S House Recovery Home is an health care organization with primary practice located at 2000 Traffic Way , Atascadero CA 93422-1523. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Treatment, Children, which is considered as the primary health care specialty. Bryan'S House Recovery Home can be contacted via phone (805) 460-6621, or through Wortley, Sandra Lee via phone (805) 674-3131.

Contact Information

Primary practice address
2000 Traffic Way Atascadero CA 93422-1523
Phone: (805) 460-6621
Fax: (866) 306-5825
Website:
Map and Directions
Authorized official contact:
Name: Wortley, Sandra Lee CCAPP LCI04700315
Phone: (805) 674-3131

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X

Profile Details

NPI number 1275001067
LBN Legal business name Bryan'S House Recovery Home
DBA Doing business as
Authorized official Wortley, Sandra Lee CCAPP LCI04700315
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2018
Last updated Dec 7th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275001067 NPPES
California MEDICAID 1093914152

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