Organization
CHILD THERAPY INSTITUTE OF MARIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIE SHUGHART (OFFICE MANAGER)
(415) 456-7724
Entity
Organization
Contact information
Practice address
3195 CALIFORNIA ST STE D, SAN FRANCISCO, CA 94115-2412
(925) 434-6889
Mailing address
1480 LINCOLN AVE STE 8, SAN RAFAEL, CA 94901-2085
(415) 456-7724
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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