Child Therapy Institute of Marin
NPI #1790216489 in Corte Madera, California
Provider Information
- NPI Number
- 1790216489
- Entity Type
- Organization
- Organization Name
- Child Therapy Institute of Marin
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 23, 2017
- Last Updated
- Mar 23, 2017
Practice Location
- Address
- 240 TAMAL VISTA BLVD
- Address 2
- #155
- City
- Corte Madera
- State
- California
- ZIP Code
- 94925-1132
- Phone
- (415) 456-7724
Authorized Official
- Name
- BRIAN LUKAS, PHD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (415) 456-7724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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