Organization
CORDILLERAS MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELIA LASTIMOSA BSN, RN (DIRECTOR OF NURSING)
(510) 455-6334
Entity
Organization
Contact information
Practice address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813
(650) 367-1890
Mailing address
1185 HILLCREST BLVD, MILLBRAE, CA 94030-2234
(650) 445-3113
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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