NPI | 1417495623 |
---|---|
Other Name | BAYSIDE MARIN OUTPATIENT |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER HOWARD VP And Secretary 615-861-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 210030CP) |
Enumeration Date | 2017-02-08 |
Last Update Date | 2023-02-14 |