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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