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Healthcare Organization Stored source record

PLATT MARRIAGE AND FAMILY THERAPY CORPORATION

311 MILLER AVE, SUITE E, MILL VALLEY, CA, 949412884

atlas:atm_npi_1013312982

Block 3007Block Group 3Census Tract 1261Marin CountyCaliforniaUnited States

What is stored

phone
415-360-5445
status
A
address
311 MILLER AVE, SUITE E, MILL VALLEY, CA, 949412884
fax
815-301-9737
npi
1013312982
license
MFC35161
taxonomy
Community/Behavioral Health
other names
["TEEN SOLUTIONS"]
last updated
2014-11-04
license state
CA
taxonomy code
251S00000X
all taxonomies
["Community/Behavioral Health"]
enumeration date
2014-11-04
enumeration type
NPI-2
practice locations
0
authorized official
RICHARD PLATT
organizational subpart
NO

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{
  "fax": "815-301-9737",
  "npi": "1013312982",
  "phone": "415-360-5445",
  "status": "A",
  "address": "311 MILLER AVE, SUITE E, MILL VALLEY, CA, 949412884",
  "license": "MFC35161",
  "taxonomy": "Community/Behavioral Health",
  "other_names": [
    "TEEN SOLUTIONS"
  ],
  "last_updated": "2014-11-04",
  "license_state": "CA",
  "taxonomy_code": "251S00000X",
  "all_taxonomies": [
    "Community/Behavioral Health"
  ],
  "enumeration_date": "2014-11-04",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "RICHARD PLATT",
  "organizational_subpart": "NO"
}