Organization
ENTERPRISE RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER J CARTER (EXECUTIVE DIRECTOR)
(415) 457-4554
Entity
Organization
Contact information
Practice address
3270 KERNER BLVD STE C, SAN RAFAEL, CA 94901-4840
(415) 457-4554
Mailing address
3270 KERNER BLVD STE C, SAN RAFAEL, CA 94901-4840
(415) 457-4554
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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