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Organization
COMMUNITY ACTION MARIN
Active
Organization
COMMUNITY ACTION MARIN
Active
Other names
Linda Reed Activities Club
Organization subpart
No
Provider details
NPI number
Authorized official
GARY INTERSIMONE (MENTAL HEALTH FISCAL ADMINISTRATOR)
(415) 526-7500
Entity
Organization
Contact information
Practice address
3270 KERNER BLVD, BUILDING A, SUITE C, SAN RAFAEL, CA 94901-4840
(415) 457-4554
(415) 721-2231
Mailing address
555 NORTHGATE DRIVE #201, SECOND FLOOR, SAN RAFAEL, CA 94903-3507
(415) 526-7514
(415) 457-9677
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
02/26/2007
Last updated
10/26/2019
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