| Coastpride, Inc. | |
|
255 Main St Half Moon Bay CA 94019-1721 | |
| (650) 808-7643 | |
| Not Available |
| Full Name | Coastpride, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 255 Main St, Half Moon Bay, California |
| Authorized Official Name and Position | Carly Devlin (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6508087643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastpride, Inc. 255 Main St Half Moon Bay CA 94019-1721 | Coastpride, Inc. 255 Main St Half Moon Bay CA 94019-1721 Ph: (650) 808-7643 |
| NPI Number | 1295658599 |
|---|---|
| Provider Enumeration Date | 08/03/2026 |
| Last Update Date | 08/03/2026 |
| Certification Date | 08/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295658599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
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