| Organization Name: | ANN MARTIN CENTER |
| NPI Number: | 1124229224 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURIE LOBER (CLINICAL DIRECTOR) |
| Mailing Address: | 4314 Piedmont Ave Piedmont |
| State: | CA US |
| Postal Code: | 946114716 |
| Phone Number: | 5108791460 |
| Fax Number: | 5108791469 |
| NPI Enumeration Date: | 05/29/2007 |
| NPI Last Update Date: | 09/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 140000152 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |