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Benjaminrussack
Community/Behavioral Health Agency in Mill Valley, California
NPI 1083014773

Benjaminrussack is a Community/Behavioral Health Agency based in Mill Valley, CA. Benjaminrussack practices in Mill Valley, CA. The NPI Number for Benjaminrussack is 1083014773 and holds a License No. 78602 (California).

The current practice location address for Benjaminrussack is 20 Shelley Dr Apt 6, Mill Valley, CA and can be reached out via phone at 415-497-1908.

Location: 20 Shelley Dr Apt 6, Mill Valley, CA, 94941-1562
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083014773
Provider Name
Benjaminrussack
Credential
Provider Entity Type
Organization
Address
20 Shelley Dr Apt 6, Mill Valley, CA, 94941-1562
Phone Number
415-497-1908
Fax Number
Provider Enumeration Date
08/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20 Shelley Dr Apt 6
City
Mill Valley
State
California
Zip
94941-1562
Phone Number
415-497-1908
Fax Number
person
Provider Business Mailing Address Details
Address
20 Shelley Dr Apt 6
City
Mill Valley
State
California
Zip
94941-1562
Phone Number
415-497-1908
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
78602 (California)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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