MARINA HARBOR DETOX
NPI 1720624497
Substance Abuse Rehabilitation Facility in San Francisco, CA

Q: What is Marina Harbor Detox's NPI number?

The NPI number for Marina Harbor Detox is 1720624497. It was assigned to this organization in the NPPES registry on November 18, 2019.

Q: What is Marina Harbor Detox's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since November 18, 2019CLIA 05D2174998 · Waiver

289 MARINA BLVD, SAN FRANCISCO, CA 94123(415) 868-3858 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2026, Feb 7, 2024, Nov 18, 2019 (3 updates tracked since 2019).

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About Marina Harbor Detox NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARINA HARBOR DETOX (NPI 1720624497) is a healthcare organization registered as a substance abuse rehabilitation facility in San Francisco, California and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Colin Mcbride, Cro, as its authorized official.

NPPES Registry Identity

NPI1720624497

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameMARINA HARBOR DETOX

Location Address289 MARINA BLVDSan Francisco, CA 94123-1212

Mailing Address5201 Congress Ave Ste 275Boca Raton, FL 33487-3609 · (415) 868-3858

Phone(415) 868-3858

Organization SubpartNo

Authorized OfficialColin McbrideCro · (631) 672-7441

Enumeration DateNovember 18, 2019

Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1720624497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

289 MARINA BLVD, San Francisco, CA 94123

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2174998

Marina Harbor Detox LLC · San Francisco, CA

Active · expires Nov 12, 2027

CLIA Number05D2174998

Laboratory TypeDetox/Residential Sud

Certificate Effective DateNovember 13, 2025

Certificate Expiration DateNovember 12, 2027

Laboratory DirectorColleen Weissmann

Laboratory Phone(415) 868-3858

Laboratory LocationMarina Harbor Detox LLC289 Marina Harbor Blvd, San Francisco, CA 94123

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marina Harbor Detox's NPI number?

The NPI number for Marina Harbor Detox is 1720624497. It was assigned to this organization in the NPPES registry on November 18, 2019.

Where is Marina Harbor Detox located?

Marina Harbor Detox is located at 289 Marina Blvd, San Francisco, CA 94123. The listed phone number is (415) 868-3858.

What is Marina Harbor Detox's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Marina Harbor Detox hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2174998) is associated with this NPI, valid through November 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marina Harbor Detox was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.