Organization
MARIN OUTPATIENT RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY FERGUSON DIRECTOR (DIRECTOR)
(415) 215-1858
Entity
Organization
Contact information
Practice address
11 ALBION ST, SAN RAFAEL, CA 94901-5201
(415) 879-1723
Mailing address
11 ALBION ST, SAN RAFAEL, CA 94901-5201
(415) 879-1723
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
03131697
CA
251S00000X
Community/Behavioral Health Agency
Primary
01131697
CA
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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