Organization
FAMILY SERVICE AGENCY OF MARIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE A. SUFFRIDGE PHD. (CLINICAL DIRECTOR)
(415) 491-5700
Entity
Organization
Contact information
Practice address
384 PANORAMIC HWY, MILL VALLEY, CA 94941-2646
(415) 888-3384
Mailing address
555 NORTHGATE DR, SAN RAFAEL, CA 94903-3680
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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