Provider Demographics
NPI:1962839803
Name:COUNTY OF MARIN
Entity Type:Organization
Organization Name:COUNTY OF MARIN
Other - Org Name:MARIN COUNTY CRISIS STABILIZATION UNIT
Other - Org Type:Other Name
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:PO BOX 4158
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94913-4158
Mailing Address - Country:US
Mailing Address - Phone:415-473-6816
Mailing Address - Fax:415-473-5850
Practice Address - Street 1:250 BON AIR RD
Practice Address - Street 2:UNIT B, PSYCHIATRIC EMERGENCY
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-1702
Practice Address - Country:US
Practice Address - Phone:415-473-6666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF MARIN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-10
Last Update Date:2023-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health