Provider Demographics
NPI:1760186191
Name:FIRST 5 MARIN CHILDREN AND FAMILIES COMMISSION/HELP ME GROW MARIN
Entity Type:Organization
Organization Name:FIRST 5 MARIN CHILDREN AND FAMILIES COMMISSION/HELP ME GROW MARIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/CHILD DEVELOPMENT SPECIALIS
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:KREUZER
Authorized Official - Suffix:
Authorized Official - Credentials:MS;CTRS
Authorized Official - Phone:415-720-1283
Mailing Address - Street 1:1050 NORTHGATE DR STE 130
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-2557
Mailing Address - Country:US
Mailing Address - Phone:415-720-1283
Mailing Address - Fax:
Practice Address - Street 1:1050 NORTGHGATE DRIVE, SUITE 130
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903
Practice Address - Country:US
Practice Address - Phone:415-720-1283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency