Child Therapy Institute Of Marin | |
2015 Virginia St Berkeley CA 94709-2229 | |
(415) 456-7724 | |
(415) 456-1050 |
Full Name | Child Therapy Institute Of Marin |
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Speciality | Community/behavioral Health |
Location | 2015 Virginia St, Berkeley, 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 |
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Child Therapy Institute Of Marin 1480 Lincoln Ave Ste 8 San Rafael CA 94901-2085 Ph: (415) 456-7724 | Child Therapy Institute Of Marin 2015 Virginia St Berkeley CA 94709-2229 Ph: (415) 456-7724 |
NPI Number | 1487092144 |
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Provider Enumeration Date | 06/04/2013 |
Last Update Date | 06/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487092144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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