Provider Demographics
NPI:1922394758
Name:WOMEN'S RECOVERY ASSOCIATION
Entity Type:Organization
Organization Name:WOMEN'S RECOVERY ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUZAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HELVACI-SARIKURT
Authorized Official - Suffix:
Authorized Official - Credentials:MFTI
Authorized Official - Phone:650-348-6603
Mailing Address - Street 1:1450 CHAPIN AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-4062
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1450 CHAPIN AVE
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4062
Practice Address - Country:US
Practice Address - Phone:650-348-6603
Practice Address - Fax:650-348-0615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health