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Organization
COUNTY OF MARIN
Active
Organization
COUNTY OF MARIN
Active
Parent organization
COUNTY OF MARIN
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF MARIN
Authorized official
ROSANNA LALLANA (COMPLIANCE PRIVACY SECURITY OFCR)
(415) 473-2531
Entity
Organization
Contact information
Practice address
3270 KERNER BOULEVARD, BUILDING A, SAN RAFAEL, CA 94901-4841
(415) 473-7818
(415) 473-4283
Mailing address
20 N SAN PEDRO RD, SAN RAFAEL, CA 94903-4188
(415) 473-6948
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000002177
—
CA
05
—
2177
—
CA
Enumeration date
04/10/2008
Last updated
12/02/2022
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