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Donald Wayne Marlatt, RAS
Substance Abuse Rehabilitation Facility in San Rafael, California
NPI 1972870640

Donald Wayne Marlatt is a Substance Abuse Rehabilitation Facility based in San Rafael, CA. Donald Wayne Marlatt practices in San Rafael, CA and has the professional credentials of RAS. The NPI Number for Donald Wayne Marlatt is 1972870640 and holds a License No. 03-097228 (California).

The current practice location address for Donald Wayne Marlatt is 603 D St, San Rafael, CA and can be reached out via phone at 415-454-9444.

Location: 603 D St, San Rafael, CA, 94901-3719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972870640
Provider Name
Donald Wayne Marlatt
Credential
RAS
Provider Entity Type
Individual
Gender
Male
Address
603 D St, San Rafael, CA, 94901-3719
Phone Number
415-454-9444
Fax Number
Provider Enumeration Date
11/24/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M1105070241 01 CA BREINING INSTITUTE
institution
Provider Business Practice Location Address Details
Address
603 D St
City
San Rafael
State
California
Zip
94901-3719
Phone Number
415-454-9444
Fax Number
person
Provider Business Mailing Address Details
Address
603 D St
City
San Rafael
State
California
Zip
94901-3719
Phone Number
415-454-9444
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
03-097228 (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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