| County Of San Mateo | |
|
199 Churchill Ave Woodside CA 94062-1151 | |
| (650) 364-8186 | |
| Not Available |
| Full Name | County Of San Mateo |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 199 Churchill Ave, Woodside, California |
| Authorized Official Name and Position | Scott Gilman (MENTAL HEALTH DIRECTOR) |
| Authorized Official Contact | 6505732748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of San Mateo 199 Churchill Ave Woodside CA 94062-1151 Ph: (650) 364-8186 | County Of San Mateo 199 Churchill Ave Woodside CA 94062-1151 Ph: (650) 364-8186 |
| NPI Number | 1215029079 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 03/12/2020 |
| Certification Date | 03/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215029079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |