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Contact Information

CHILD THERAPY INSTITUTE OF MARIN
92 LOUISE STREET
SAN RAFAEL, CA94901
 Phone: 415-456-7724
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for CHILD THERAPY INSTITUTE OF MARIN

NPI Number 1265790489
LBN Legal business name CHILD THERAPY INSTITUTE OF MARIN
Authorized official BRIAN LUKAS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2012
Last updated 04/25/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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