Organization
FAMILY RECOVERY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH BRUCE PERLMUTTER PHD (FOUNDER/DIRECTOR)
(415) 322-0939
Entity
Organization
Contact information
Practice address
1800 LINCOLN AVE, SUITE 200, SAN RAFAEL, CA 94901
(415) 322-0939
(415) 448-5309
Mailing address
1800 LINCOLN AVE, SUITE 200, SAN RAFAEL, CA 94901
(415) 322-0939
(415) 448-5309
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY25112
CA
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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