# FAMILY SERVICE AGENCY OF MARIN

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

## Provider details

- **NPI number:** 1548270267
- **Authorized official:** MRS. MARGARET HALLETT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (415) 491-5700

## Contact information

- **Practice address:** 555 NORTHGATE DR, SAN RAFAEL, CA 94903-3680
- **Practice address phone:** (415) 491-5700
- **Practice address fax:** (415) 491-5750
- **Mailing address:** 555 NORTHGATE DR, SAN RAFAEL, CA 94903-3680
- **Mailing address phone:** (415) 491-5700
- **Mailing address fax:** (415) 491-5750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 08/22/2020