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802 Brewster Ave Redwood City CA 94063-1510 | |
| (650) 363-4111 | |
| (650) 364-6927 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 802 Brewster Ave, Redwood City, California |
| Authorized Official Name and Position | Chris Coppola (DEPUTY DIRECTOR) |
| Authorized Official Contact | 6505732038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1510 Mckinnon Ave San Francisco CA 94124-2151 Ph: (415) 821-7874 | 802 Brewster Ave Redwood City CA 94063-1510 Ph: (650) 363-4111 |
| NPI Number | 1568754562 |
|---|---|
| Provider Enumeration Date | 05/09/2011 |
| Last Update Date | 05/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568754562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 261QM0801X (California) | Primary |
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