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NPI Code Detail

MEDICARE: FAMILY WORKS

MEDICARE: FAMILY WORKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1548449606
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY WORKS
Provider Business Mailing Address
First Line : 4 JOSEPH CT
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94903-2609
Country : US
Telephone Number : 415-492-0720
Fax Number : 415-492-1099
Provider Business Practice Location Address
First Line : 4 JOSEPH CT
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94903-2609
Country : US
Telephone Number : 415-492-0720
Fax Number : 415-492-1099
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. MICHAEL DIEHL
Credential :
Telephone Number : 415-492-0720
Provider Enumeration Date : 10/25/2007
Last Update Date : 11/28/2016

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Directions to “FAMILY WORKS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.