Child Therapy Institute of Marin
NPI #1265790489 in San Rafael, California
Provider Information
- NPI Number
- 1265790489
- Entity Type
- Organization
- Organization Name
- Child Therapy Institute of Marin
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 25, 2012
- Last Updated
- Apr 25, 2012
Practice Location
- Address
- 92 LOUISE STREET
- City
- San Rafael
- State
- California
- ZIP Code
- 94901
- Phone
- (415) 456-7724
Authorized Official
- Name
- BRIAN LUKAS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (415) 456-7724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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