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Healthcare Organization Stored source record

FAMILY SERVICE AGENCY

555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN, SAN RAFAEL, CA, 949033680

atlas:atm_npi_1013071232

Block 1006Block Group 1Census Tract 1082.01Marin CountyCaliforniaUnited States

What is stored

phone
415-491-5700
status
A
address
555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN, SAN RAFAEL, CA, 949033680
fax
415-491-5755
npi
1013071232
license
IMF52141
taxonomy
Community/Behavioral Health
other names
[]
last updated
2020-08-22
license state
CA
taxonomy code
251S00000X
all taxonomies
["Community/Behavioral Health"]
enumeration date
2006-12-21
enumeration type
NPI-2
practice locations
0
authorized official
JOAN KRAEMER
organizational subpart
NO

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Read fact fields
{
  "fax": "415-491-5755",
  "npi": "1013071232",
  "phone": "415-491-5700",
  "status": "A",
  "address": "555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN, SAN RAFAEL, CA, 949033680",
  "license": "IMF52141",
  "taxonomy": "Community/Behavioral Health",
  "other_names": [],
  "last_updated": "2020-08-22",
  "license_state": "CA",
  "taxonomy_code": "251S00000X",
  "all_taxonomies": [
    "Community/Behavioral Health"
  ],
  "enumeration_date": "2006-12-21",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "JOAN KRAEMER",
  "organizational_subpart": "NO"
}