Family Recovery Institute | |
1800 Lincoln Ave Suite 200 San Rafael CA 94901 | |
(415) 322-0939 | |
(415) 448-5309 |
Full Name | Family Recovery Institute |
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Speciality | Psychologist - Clinical |
Location | 1800 Lincoln Ave, San Rafael, California |
Authorized Official Name and Position | Kenneth Bruce Perlmutter (FOUNDER/DIRECTOR) |
Authorized Official Contact | 4153220939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Recovery Institute 1800 Lincoln Ave Suite 200 San Rafael CA 94901 Ph: (415) 322-0939 | Family Recovery Institute 1800 Lincoln Ave Suite 200 San Rafael CA 94901 Ph: (415) 322-0939 |
NPI Number | 1164915112 |
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Provider Enumeration Date | 06/13/2018 |
Last Update Date | 06/13/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164915112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY25112 (California) | Primary |
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