| Serenity House | |
|
900 Laurel Ave San Mateo CA 94401-4211 | |
| (650) 293-9407 | |
| Not Available |
| Full Name | Serenity House |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 900 Laurel Ave, San Mateo, California |
| Authorized Official Name and Position | Denise Williams (VICE PRESIDENT OF COMPLIANCE) |
| Authorized Official Contact | 4157402311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity House 1563 Mission St Fl 4 San Francisco CA 94103-2592 Ph: (415) 740-2311 | Serenity House 900 Laurel Ave San Mateo CA 94401-4211 Ph: (650) 293-9407 |
| NPI Number | 1356843171 |
|---|---|
| Provider Enumeration Date | 03/07/2018 |
| Last Update Date | 01/11/2022 |
| Certification Date | 01/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356843171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (NU) | Primary |
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