Child Therapy Institute of Marin
NPI #1497935308 in Antioch, California
Provider Information
- NPI Number
- 1497935308
- Entity Type
- Organization
- Organization Name
- Child Therapy Institute of Marin
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 7, 2007
- Last Updated
- Nov 7, 2007
Practice Location
- Address
- 2926 LONE TREE WAY
- City
- Antioch
- State
- California
- ZIP Code
- 94509-4924
- Phone
- (925) 301-7587
Authorized Official
- Name
- BRIAN LUKAS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (415) 456-7727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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