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Organization
MHA LIGHT TREE
Active
Organization
MHA LIGHT TREE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE YOUNG (OPERATIONS MANAGER)
(650) 257-8816
Entity
Organization
Contact information
Practice address
1805 E BAYSHORE RD, EAST PALO ALTO, CA 94303-2560
(650) 368-3345
Mailing address
2686 SPRING ST, REDWOOD CITY, CA 94063-3522
(650) 368-3345
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
04/13/2026
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