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400 Concar Dr San Mateo CA 94402-2681 | |
| (888) 224-7332 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 400 Concar Dr, San Mateo, California |
| Authorized Official Name and Position | Barrett Dwyer (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8882247332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
400 Concar Dr San Mateo CA 94402-2681 Ph: (888) 224-7332 | 400 Concar Dr San Mateo CA 94402-2681 Ph: (888) 224-7332 |
| NPI Number | 1134994353 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134994353 | NPI | - | NPPES |
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