| Service Connect | |
|
550 Quarry Rd 3rd Floor San Carlos CA 94070-6221 | |
| (650) 573-2302 | |
| (650) 802-6440 |
| Full Name | Service Connect |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 550 Quarry Rd, San Carlos, California |
| Authorized Official Name and Position | Scott Gilman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6505732748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Service Connect 550 Quarry Rd 3rd Floor San Carlos CA 94070-6221 Ph: (650) 573-2302 | Service Connect 550 Quarry Rd 3rd Floor San Carlos CA 94070-6221 Ph: (650) 573-2302 |
| NPI Number | 1770862344 |
|---|---|
| Provider Enumeration Date | 08/12/2011 |
| Last Update Date | 08/23/2022 |
| Certification Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770862344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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