Organization
COUNTY OF MARIN
Active
Parent organization
COUNTY OF MARIN
Other names
Mental Health Wellness Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF MARIN
Authorized official
ROSANNA LALLANA (COMPLIANCE/PRIVACY OFFICER)
(415) 473-2087
Entity
Organization
Contact information
Practice address
3230 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 473-5053
Mailing address
PO BOX 4158, SAN RAFAEL, CA 94913-4158
(415) 473-5053
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2177
—
CA
Enumeration date
10/09/2015
Last updated
05/18/2021
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