Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bayside Marin, Inc

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1417495623

Bayside Marin, Inc is a Substance Use Disorder Rehabilitation Clinic/Center in San Rafael, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

718 4th St
San Rafael, CA 94901-3213
Phone: (415) 450-0031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X · Licence 210030CP (CA)

Record details

NPI number1417495623
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Farley — Vp And Secretary · (615) 861-6000
Other names Bayside Marin Outpatient; Bayside Marin Outpatient
NPI enumeratedFebruary 8, 2017
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing address4020 Aspen Grove Dr Ste 900, Franklin, TN 37067-3134

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