Organization
COUNTY OF MARIN COMMUNITY MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSANNA LALLANA (COMPLIANCE/PRIVACY OFFICER)
(415) 473-2531
Entity
Organization
Contact information
Practice address
20 N SAN PEDRO RD STE 2021, SAN RAFAEL, CA 94903-4158
(415) 499-6769
(415) 499-4283
Mailing address
20 N SAN PEDRO RD STE 2021, SAN RAFAEL, CA 94903-4158
(415) 499-6769
(415) 499-4283
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000002177
—
CA
Enumeration date
02/22/2007
Last updated
05/27/2023
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