Child Therapy Institute of Marin
NPI #1619014081 in San Rafael, California
Provider Information
- NPI Number
- 1619014081
- Entity Type
- Organization
- Organization Name
- Child Therapy Institute of Marin
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 1, 2007
- Last Updated
- Jan 6, 2026
Practice Location
- Address
- 1480 LINCOLN AVE STE 8
- City
- San Rafael
- State
- California
- ZIP Code
- 94901-2085
- Phone
- (415) 456-7724
Authorized Official
- Name
- DR. BRIAN LUKAS, PHD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (415) 456-7724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Community/Behavioral Health |
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