| Amrita Family Therapy | |
|
30 N San Pedro Rd Ste 265 San Rafael CA 94903-4153 | |
| (415) 570-2270 | |
| Not Available |
| Full Name | Amrita Family Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 30 N San Pedro Rd Ste 265, San Rafael, California |
| Authorized Official Name and Position | Carol Beth Normandi (CEO) |
| Authorized Official Contact | 4153425082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amrita Family Therapy 30 N San Pedro Rd Ste 265 San Rafael CA 94903-4153 Ph: (415) 570-2270 | Amrita Family Therapy 30 N San Pedro Rd Ste 265 San Rafael CA 94903-4153 Ph: (415) 570-2270 |
| NPI Number | 1366012783 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 06/28/2021 |
| Certification Date | 06/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366012783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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