Provider Demographics
NPI:1700234713
Name:COUNTY OF MARIN
Entity Type:Organization
Organization Name:COUNTY OF MARIN
Other - Org Name:HHS BEHAVIORAL HEALTH AND RECOVERY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE/PRIVACY OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ROSANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LALLANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-473-2087
Mailing Address - Street 1:20 N SAN PEDRO RD
Mailing Address - Street 2:SUITES 2021
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-4188
Mailing Address - Country:US
Mailing Address - Phone:415-473-2087
Mailing Address - Fax:415-473-7008
Practice Address - Street 1:10 N SAN PEDRO RD
Practice Address - Street 2:SUITE 1015, 1018, AND 1019
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-4178
Practice Address - Country:US
Practice Address - Phone:415-473-3030
Practice Address - Fax:415-473-7008
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF MARIN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-31
Last Update Date:2023-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health