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Organization
CORDILLERAS MENTAL HEALTH CORPORATION
Active
Organization
CORDILLERAS MENTAL HEALTH CORPORATION
Active
Other names
Canyon Vista Center
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 292-7024
Entity
Organization
Contact information
Practice address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813
(510) 337-7950
(510) 337-7969
Mailing address
1080 MARINA VILLAGE PKWY STE 100, ALAMEDA, CA 94501-1078
(510) 337-7950
(510) 337-7969
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
07/03/2024
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