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Organization
SAN MATEO COUNTY
Active
Organization
SAN MATEO COUNTY
Active
Other names
Jefferson Union High School District (JUHSD) TDS
Organization subpart
No
Provider details
NPI number
Authorized official
JEI AFRICA (DIRECTOR)
(650) 613-2155
Entity
Organization
Contact information
Practice address
1450 TERRA NOVA BLVD, ROOMS 222 AND 223, PACIFICA, CA 94044-3615
(650) 994-4395
Mailing address
1450 TERRA NOVA BLVD RM 222, PACIFICA, CA 94044-3615
(650) 994-4395
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2006
Last updated
03/21/2024
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