Child Therapy Institute of Marin
NPI #1487092144 in Berkeley, California
Provider Information
- NPI Number
- 1487092144
- Entity Type
- Organization
- Organization Name
- Child Therapy Institute of Marin
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 4, 2013
- Last Updated
- Jun 4, 2013
Practice Location
- Address
- 2015 VIRGINIA ST
- City
- Berkeley
- State
- California
- ZIP Code
- 94709-2229
- 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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