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Organization
SAN MATEO COUNTY
Active
Organization
SAN MATEO COUNTY
Active
Other names
Central County Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
JEI AFRICA (DIRECTOR)
(650) 613-2155
Entity
Organization
Contact information
Practice address
1950 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1222
(650) 573-3571
Mailing address
1950 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1222
(650) 573-3571
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ80500Z
MEDICARE PTAN
CA
Enumeration date
07/21/2006
Last updated
12/10/2024
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