Organization
THE CHILD THERAPY INSTITUTE OF MARIN
Active
Parent organization
CHILD THERAPY INSTITUTE OF MARIN
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILD THERAPY INSTITUTE OF MARIN
Authorized official
BRIAN LUKAS (EXECUTIVE DIRECTOR)
(415) 456-7724
Entity
Organization
Contact information
Practice address
11100 SAN PABLO AVE STE 205, EL CERRITO, CA 94530-2100
(510) 525-6225
Mailing address
1480 LINCOLN AVE, SAN RAFAEL, CA 94901-2084
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/14/2017
Last updated
05/20/2025
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