| Mateo Lodge, Inc. | |
|
695 5th Ave Redwood City CA 94063-3818 | |
| (650) 568-9006 | |
| Not Available |
| Full Name | Mateo Lodge, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 695 5th Ave, Redwood City, California |
| Authorized Official Name and Position | Ian Adamson (C.E.O.) |
| Authorized Official Contact | 6503638125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mateo Lodge, Inc. 420 Cassia St Redwood City CA 94063-2011 Ph: () - | Mateo Lodge, Inc. 695 5th Ave Redwood City CA 94063-3818 Ph: (650) 568-9006 |
| NPI Number | 1851445423 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851445423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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