| Marin Outpatient Recovery Services | |
|
11 Albion St San Rafael CA 94901-5201 | |
| (415) 879-1723 | |
| Not Available |
| Full Name | Marin Outpatient Recovery Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11 Albion St, San Rafael, California |
| Authorized Official Name and Position | Lindsay Ferguson (DIRECTOR) |
| Authorized Official Contact | 4152151858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marin Outpatient Recovery Services 11 Albion St San Rafael CA 94901-5201 Ph: (415) 879-1723 | Marin Outpatient Recovery Services 11 Albion St San Rafael CA 94901-5201 Ph: (415) 879-1723 |
| NPI Number | 1053702787 |
|---|---|
| Provider Enumeration Date | 02/17/2015 |
| Last Update Date | 02/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053702787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 03131697 (California) | Secondary |
| 251S00000X | Community/behavioral Health | 01131697 (California) | Primary |
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