Child Therapy Institute Of Marin | |
11100 San Pablo Ave Ste 205 El Cerrito CA 94530-2100 | |
(510) 525-6225 | |
Not Available |
Full Name | Child Therapy Institute Of Marin |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 11100 San Pablo Ave Ste 205, 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 |
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Child Therapy Institute Of Marin 1480 Lincoln Ave San Rafael CA 94901-2084 Ph: () - | Child Therapy Institute Of Marin 11100 San Pablo Ave Ste 205 El Cerrito CA 94530-2100 Ph: (510) 525-6225 |
NPI Number | 1134641731 |
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Provider Enumeration Date | 07/14/2017 |
Last Update Date | 07/14/2017 |
Identifier | Type | State | Issuer |
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1134641731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Child Therapy Institute Of Marin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11100 San Pablo Ave., 205 & 208, El Cerrito, CA 94530 Phone: 510-525-6225 | |
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