institution
Marin Treatment Center
Primary Care Clinic/Center in San Rafael, California
NPI 1437377421

Marin Treatment Center is a Primary Care Clinic/Center based in San Rafael, CA and is specialized in Primary Care. Marin Treatment Center practices in San Rafael, CA. The NPI Number for Marin Treatment Center is 1437377421 and holds a License No. 21-70 (California).

The current practice location address for Marin Treatment Center is 1466 Lincoln Ave, San Rafael, CA and can be reached out via phone at 415-457-3755 and via fax at 415-457-9516.

Location: 1466 Lincoln Ave, San Rafael, CA, 94901-2021
institution
Provider Profile Details
NPI Number
1437377421
Provider Name
Marin Treatment Center
Credential
Provider Entity Type
Organization
Address
1466 Lincoln Ave, San Rafael, CA, 94901-2021
Phone Number
415-457-3755
Fax Number
415-457-9516
Provider Enumeration Date
04/23/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZR11863F 05 CA
CMM70602F 05 CA
00G265381 05 CA
EAP70602F 05 CA
institution
Provider Business Practice Location Address Details
Address
1466 Lincoln Ave
City
State
Zip
94901-2021
Phone Number
415-457-3755
Fax Number
415-457-9516
person
Provider Business Mailing Address Details
Address
1466 Lincoln Ave
City
State
Zip
94901-2021
Phone Number
415-457-3755
Fax Number
415-457-9516
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
110000417 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
21-70 (California)
Definition
Definition to come...
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