| Willow Mhrc | |
|
260 Edmonds Road Redwood City CA 94062 | |
| (650) 839-1076 | |
| Not Available |
| Full Name | Willow Mhrc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 260 Edmonds Road, Redwood City, California |
| Authorized Official Name and Position | Monica Gaviola (CHIEF OF STAFF) |
| Authorized Official Contact | 6503938928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Mhrc 411 Borel Ave Ste 101 San Mateo CA 94402-3525 Ph: (650) 372-4080 | Willow Mhrc 260 Edmonds Road Redwood City CA 94062 Ph: (650) 839-1076 |
| NPI Number | 1881449478 |
|---|---|
| Provider Enumeration Date | 04/18/2024 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881449478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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