Organization · Type 2 NPI

Benjaminrussack

Community/Behavioral Health Agency · Mill Valley, CA

NPI number 1083014773 Active

Practice location

20 Shelley Dr Apt 6
Mill Valley, CA 94941-1562

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X78602 (CA)

Community/Behavioral Health Agency: 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 suppo…

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About NPI 1083014773

Benjaminrussack's National Provider Identifier is 1083014773, issued on Aug 29, 2014. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Mill Valley, CA. The record was last updated on Aug 29, 2014.