County Of Marin Community Mental Health Services | |
20 N San Pedro Rd Ste 2021 San Rafael CA 94903-4158 | |
(415) 499-6769 | |
(415) 499-4283 |
Full Name | County Of Marin Community Mental Health Services |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 20 N San Pedro Rd Ste 2021, San Rafael, California |
Authorized Official Name and Position | Rosanna Lallana (COMPLIANCE/PRIVACY OFFICER) |
Authorized Official Contact | 4154732531 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
County Of Marin Community Mental Health Services 20 N San Pedro Rd Ste 2021 San Rafael CA 94903-4158 Ph: (415) 499-6769 | County Of Marin Community Mental Health Services 20 N San Pedro Rd Ste 2021 San Rafael CA 94903-4158 Ph: (415) 499-6769 |
NPI Number | 1891820577 |
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Provider Enumeration Date | 02/22/2007 |
Last Update Date | 05/27/2023 |
Certification Date | 05/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891820577 | NPI | - | NPPES |
000002177 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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