California state authorization
- State authority
- California Department of Health Care Services Source
- DHCS application number
- 210049CP Source
- DHCS authorization type
- Licensed Source
- Listed expiration date
- 2027-09-30 Source
- DHCS program code
- RES-DETOX Source
- Legal entity
- AVERY LANE, LLC Source
- County
- Marin County Source
- Listed treatment capacity
- 12 Source
- Listed total capacity
- 12 Source
- DHCS target population
- 1.3 --- WOMEN ONLY Source
- Incidental medical services
- Yes Source
- Adolescent waiver
- No Source
- Additional listed locations
- 2500 VINEYARD ROAD Source
Source trail
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