| NPI | 1063110229 |
|---|---|
| Doing Business As | BAYSIDE MARIN |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HOWARD Vice President And Secretary 615-861-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-02-17 |