| Corstone | |
|
33 Buchanan Dr Sausalito CA 94965-1650 | |
| (415) 331-6161 | |
| Not Available |
| Full Name | Corstone |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 33 Buchanan Dr, Sausalito, California |
| Authorized Official Name and Position | Melissa Heckman (DIRECTOR) |
| Authorized Official Contact | 4153316161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corstone 33 Buchanan Dr Sausalito CA 94965-1650 Ph: (415) 331-6161 | Corstone 33 Buchanan Dr Sausalito CA 94965-1650 Ph: (415) 331-6161 |
| NPI Number | 1548575095 |
|---|---|
| Provider Enumeration Date | 08/09/2010 |
| Last Update Date | 08/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548575095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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