Homeward Bound Of Marin

NPI 1497895189 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1497895189
Enumeration Date 02/08/2007
Last Updated 07/19/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARY K MARY
Position EXECUTIVE DIRECTOR
Phone (415) 459-5843
Fax (415) 459-5894
Practice Location
830 B ST
SAN RAFAEL CA, 94901-3003, US
Phone (415) 459-5843
Fax (415) 459-5894
Business Location
199 GREENFIELD AVE
SAN RAFAEL CA, 94901-2670, US
Phone (415) 457-2114
Fax (415) 457-1815
Toxanomy
Taxonomy Code 320800000X
License State
License Number
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According to our database, Homeward Bound Of Marin NPI is 1497895189, taxonomy code is 320800000X Homeward Bound Of Marin physically located at 830 B St, San Rafael CA, 94901-3003. NPI Number 1033115704 has the healthcare provider type.

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1497895189 NPI number is provided on an as is basis without warranty of any kind. 1497895189 is maintained by the National Plan & Provider Enumeration System. The contents of Homeward Bound Of Marin are for informational purposes only.