Organization
BAYSIDE MARIN, INC.
Active
Organization
BAYSIDE MARIN, INC.
Active
Other names
Bayside Marin Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN FARLEY (VP AND SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
718 4TH ST, SAN RAFAEL, CA 94901-3213
(415) 450-0031
Mailing address
4020 ASPEN GROVE DR STE 900, FRANKLIN, TN 37067-3134
(615) 861-6000
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
210030CP
CA
Other
Enumeration date
02/08/2017
Last updated
12/30/2025
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