Organization
COUNTY OF MARIN
Active
Parent organization
COUNTY OF MARIN
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF MARIN
Authorized official
ROSANNA LALLANA (COMPLIANCE PRIVACY SECURITY OFCR)
(415) 473-2531
Entity
Organization
Contact information
Practice address
3230 KERNER BOULEVARD, SAN RAFAEL, CA 94901-4841
(415) 473-2843
(415) 473-3080
Mailing address
20 N SAN PEDRO RD, SAN RAFAEL, CA 94903-4188
(415) 473-6948
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2177
—
CA
Enumeration date
12/22/2006
Last updated
12/02/2022
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