| Amrita Eating Disorder Treatment | |
|
30 N San Pedro Rd Ste 265 San Rafael CA 94903-4153 | |
| (415) 488-1104 | |
| Not Available |
| Full Name | Amrita Eating Disorder Treatment |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 30 N San Pedro Rd Ste 265, San Rafael, California |
| Authorized Official Name and Position | Carol Normandi (DIRECTOR) |
| Authorized Official Contact | 4155702270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amrita Eating Disorder Treatment Po Box 819 Woodacre CA 94973-0819 Ph: () - | Amrita Eating Disorder Treatment 30 N San Pedro Rd Ste 265 San Rafael CA 94903-4153 Ph: (415) 488-1104 |
| NPI Number | 1932688447 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 04/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932688447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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