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COMMUNITY ACTION MARIN NPI 1912431271


NPI Information

NPI: 1912431271
Provider Name: COMMUNITY ACTION MARIN

Doing Business As: COMMUNITY ACTION MARIN

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
555 NORTHGATE DR STE 201
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 526-7511
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COMMUNITY ACTION MARIN is a community behavioral health in San Rafael, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COMMUNITY ACTION MARIN NPI is 1912431271. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Community Action Marin.

The provider's business location address is:

555 NORTHGATE DR STE 201
SAN RAFAEL, CA
ZIP 94903-696
Phone: (415) 526-7511

The provider's authorized official is Chandra Alexandre .
The authorized official title is Ceo and has the following contact phone number (415) 526-7511.

The enumeration date for this NPI number is 4/13/2017 and was last updated on 8/23/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2252Y00000XEarly Intervention Provider AgencyNo
3305S00000XPoint of ServiceNo
4251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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