# COMMUNITY ACTION MARIN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Linda Reed Activities Club
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629104112
- **Authorized official:** GARY INTERSIMONE (MENTAL HEALTH FISCAL ADMINISTRATOR)
- **Authorized official phone:** (415) 526-7500

## Contact information

- **Practice address:** 3270 KERNER BLVD, BUILDING A, SUITE C, SAN RAFAEL, CA 94901-4840
- **Practice address phone:** (415) 457-4554
- **Practice address fax:** (415) 721-2231
- **Mailing address:** 555 NORTHGATE DRIVE \#201, SECOND FLOOR, SAN RAFAEL, CA 94903-3507
- **Mailing address phone:** (415) 526-7514
- **Mailing address fax:** (415) 457-9677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 10/26/2019
