| (re)mind, Felton Beam | |
|
1108 S El Camino Real San Mateo CA 94402-2804 | |
| (415) 474-7310 | |
| Not Available |
| Full Name | (re)mind, Felton Beam |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1108 S El Camino Real, San Mateo, California |
| Authorized Official Name and Position | Marvin Davis (CEO) |
| Authorized Official Contact | 5108448244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| (re)mind, Felton Beam 1500 Franklin St San Francisco CA 94109-4523 Ph: (415) 474-7310 | (re)mind, Felton Beam 1108 S El Camino Real San Mateo CA 94402-2804 Ph: (415) 474-7310 |
| NPI Number | 1417222084 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 11/19/2020 |
| Certification Date | 11/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417222084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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