# CENTER FOR RESTORATIVE PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134275589
- **Authorized official:** MR. MARCUS H SMALL LMFT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (707) 322-4971

## Contact information

- **Practice address:** 639 DRAKE AVE., MARIN CITY, CA 94965
- **Practice address phone:** (707) 322-4971
- **Mailing address:** PO BOX 1435, SAUSALITO, CA 94966-1435
- **Mailing address phone:** (707) 322-4971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 39843305 | CA | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 08/13/2020
