| Center For Families-marin Or Newport Academy-marin | |
|
1104 Lincoln Ave San Rafael CA 94901-3245 | |
| (415) 799-4427 | |
| Not Available |
| Full Name | Center For Families-marin Or Newport Academy-marin |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1104 Lincoln Ave, San Rafael, California |
| Authorized Official Name and Position | Joseph A A Procopio (CEO) |
| Authorized Official Contact | 9494324622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Families-marin Or Newport Academy-marin L-3969 Columbus OH 43260-3969 Ph: (714) 202-5166 | Center For Families-marin Or Newport Academy-marin 1104 Lincoln Ave San Rafael CA 94901-3245 Ph: (415) 799-4427 |
| NPI Number | 1790288892 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790288892 | NPI | - | NPPES |
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