| Starvista Girls Program | |
|
335 Quarry Rd San Carlos CA 94070-6217 | |
| (650) 591-6323 | |
| (650) 591-3600 |
| Full Name | Starvista Girls Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 335 Quarry Rd, San Carlos, California |
| Authorized Official Name and Position | Lillian A Doherty (HUMAN RESOURCES DIRECTOR) |
| Authorized Official Contact | 6505919623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starvista Girls Program 610 Elm St Ste 212 San Carlos CA 94070-3070 Ph: (650) 591-9623 | Starvista Girls Program 335 Quarry Rd San Carlos CA 94070-6217 Ph: (650) 591-6323 |
| NPI Number | 1275084899 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275084899 | NPI | - | NPPES |
| 94304966 | Other | CA | MEDI-CAL / NON-PROFIT COUNSELING AGENCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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