Organization
THE CHILD THERAPY INSTITUTE OF MARIN
Active
Other names
Washington Elementary School
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LUKAS PHD (EXECUTIVE DIRECTOR)
(415) 456-7724
Entity
Organization
Contact information
Practice address
2300 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704-1412
(510) 644-6310
Mailing address
1480 LINCOLN AVE STE 8, SAN RAFAEL, CA 94901-2085
(415) 456-7724
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/12/2014
Last updated
05/20/2025
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