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Organization
MARIN FAMILY RECOVERY
Active
Organization
MARIN FAMILY RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINNY BAHR (OWNER)
(415) 741-5483
Entity
Organization
Contact information
Practice address
1209 THIRD ST. STE 4, SAN RAFAEL, CA 94901
(415) 450-1149
(415) 727-1010
Mailing address
PO BOX 151306, SAN RAFAEL, CA 94915-1306
(415) 741-5483
(415) 727-1010
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568917995
ANTHEM
—
Enumeration date
05/15/2017
Last updated
03/17/2018
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