| Canyon Oaks | |
|
400 Edmonds Rd. Redwood City CA 94062 | |
| (650) 839-1810 | |
| Not Available |
| Full Name | Canyon Oaks |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 400 Edmonds Rd., Redwood City, California |
| Authorized Official Name and Position | Tim Holocheck (LCWS) |
| Authorized Official Contact | 4083137317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Oaks 400 Edmonds Rd Redwood City CA 94062-3803 Ph: () - | Canyon Oaks 400 Edmonds Rd. Redwood City CA 94062 Ph: (650) 839-1810 |
| NPI Number | 1083944474 |
|---|---|
| Provider Enumeration Date | 01/06/2010 |
| Last Update Date | 02/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083944474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (California) | Primary |
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