Organization
MARIN OUTPATIENT AND RECOVERY SERVICES
Active
Other names
Marin Services for Men, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LINDSAY ERVIN FERGUSON JR. MS, LMFT (EXECUTIVE DIRECTOR)
(415) 485-6736
Entity
Organization
Contact information
Practice address
710 C ST, SUITE 8, SAN RAFAEL, CA 94901-3853
(415) 485-6736
(415) 236-1830
Mailing address
710 C ST, SUITE 8, SAN RAFAEL, CA 94901-3853
(415) 485-6736
(415) 236-1830
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
210033AN
CA
Other
Enumeration date
09/02/2010
Last updated
02/16/2016
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