Organization
COMMUNITY INSTITUTE FOR PSYCHOTHERAPY
Active
Organization
COMMUNITY INSTITUTE FOR PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBIN J BERENSON PH. D. (EXECUTIVE CLINICAL DIRECTOR)
(415) 459-5999
Entity
Organization
Contact information
Practice address
1330 LINCOLN AVE, SUITE 100, SAN RAFAEL, CA 94901-2120
(415) 459-5999
(415) 459-5602
Mailing address
1330 LINCOLN AVE, SUITE 201, SAN RAFAEL, CA 94901-2120
(415) 459-5999
(415) 459-5602
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
X
CA
Other
Enumeration date
06/29/2010
Last updated
07/21/2022
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