# SAN MATEO COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COUNTY OF SAN MATEO
- **Other names:** Elysian STRTP County of San Mateo
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730721929
- **Legal business name:** COUNTY OF SAN MATEO
- **Authorized official:** MS. NATASHA BOURBONNAIS LCSW (HUMAN SERVICES MANAGER II)
- **Authorized official phone:** (650) 802-6583

## Contact information

- **Practice address:** 31 TOWER RD, SAN MATEO, CA 94402-4000
- **Practice address phone:** (650) 312-5320
- **Practice address fax:** (650) 572-2414
- **Mailing address:** 1 DAVIS DRIVE, ATTN: NATASHA BOURBONNAIS, BELMONT, CA 94002
- **Mailing address phone:** (650) 802-6583
- **Mailing address fax:** (650) 592-3056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2019
- **Last updated:** 08/25/2022