| Children's Health Coucil | |
|
1765 E Bayshore Rd East Palo Alto CA 94303-2503 | |
| (650) 326-5530 | |
| Not Available |
| Full Name | Children's Health Coucil |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1765 E Bayshore Rd, East Palo Alto, California |
| Authorized Official Name and Position | Justin Joseph Lemos (DIRECTOR OF COMPLIANCE & HIM) |
| Authorized Official Contact | 6506883612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Health Coucil 650 Clark Way Palo Alto CA 94304-2300 Ph: (650) 326-5530 | Children's Health Coucil 1765 E Bayshore Rd East Palo Alto CA 94303-2503 Ph: (650) 326-5530 |
| NPI Number | 1063122745 |
|---|---|
| Provider Enumeration Date | 12/02/2022 |
| Last Update Date | 12/02/2022 |
| Certification Date | 12/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063122745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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