West Coast Posttrauma Retreat

LBN: West Coast Posttrauma Retreat
West Coast Posttrauma Retreat is an health care organization with primary practice located at 4460 - 16 Redwood Hwy Suite 362, San Rafael CA 94903-1953. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. West Coast Posttrauma Retreat can be contacted via phone (415) 721-9789, or through Fay, Joel via phone (415) 720-6653.

Contact Information

Primary practice address
4460 - 16 Redwood Hwy Suite 362 San Rafael CA 94903-1953
Phone: (415) 721-9789
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fay, Joel PSY.D.
Phone: (415) 720-6653

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X PSY 18339 California

Profile Details

NPI number 1891728267
LBN Legal business name West Coast Posttrauma Retreat
DBA Doing business as
Authorized official Fay, Joel PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Aug 22nd, 2020 - about 4 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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