| Starvista Girls Program | |
|
400 Paul Scannell Drive San Mateo CA 94402 | |
| (650) 591-9623 | |
| (650) 591-4163 |
| Full Name | Starvista Girls Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 400 Paul Scannell Drive, San Mateo, California |
| Authorized Official Name and Position | Lillian A. Doherty (HUMAN RESOURCES MANAGER) |
| 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 Street, Suite 212 San Carlos CA 94070 Ph: (650) 591-9623 | Starvista Girls Program 400 Paul Scannell Drive San Mateo CA 94402 Ph: (650) 591-9623 |
| NPI Number | 1306983887 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306983887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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