Organization
CORDILLERAS MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARTI R MITHAL M.A. (SOCIAL WORKER)
(650) 367-1890
Entity
Organization
Contact information
Practice address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813
(650) 367-1890
Mailing address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813
(650) 367-1890
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
1063509125
CA
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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