| Child Therapy Institute Of Marin | |
|
11100 San Pablo Ave. 205 & 208 El Cerrito CA 94530-2100 | |
| (510) 525-6225 | |
| Not Available |
| Full Name | Child Therapy Institute Of Marin |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11100 San Pablo Ave., El Cerrito, California |
| Authorized Official Name and Position | Brian Lukas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4154567724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Therapy Institute Of Marin 1480 Lincoln Ave Ste 8 San Rafael CA 94901-2085 Ph: (415) 456-7724 | Child Therapy Institute Of Marin 11100 San Pablo Ave. 205 & 208 El Cerrito CA 94530-2100 Ph: (510) 525-6225 |
| NPI Number | 1447531306 |
|---|---|
| Provider Enumeration Date | 09/06/2011 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447531306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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