Organization
COUNTY OF MARIN
Active
Parent organization
COUNTY OF MARIN
Other names
BHRS Odyssey Program
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
1682 NOVATO BLVD STE 105, NOVATO, CA 94947-7021
(415) 473-2721
Mailing address
20 N SAN PEDRO RD STE 2021, SAN RAFAEL, CA 94903-4158
(415) 473-2721
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2177
—
CA
Enumeration date
01/16/2018
Last updated
12/02/2022
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