Organization
CHILD MIND MEDICAL PRACTICE, PC
Active
Parent organization
CHILD MIND MEDICAL PRACTICE, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILD MIND MEDICAL PRACTICE, PLLC
Authorized official
TERENCE BYRNES (OPERATIONS MANAGER)
(650) 931-6501
Entity
Organization
Contact information
Practice address
2000 ALAMEDA DE LAS PULGAS STE 242, SAN MATEO, CA 94403-1271
(650) 931-6501
Mailing address
2000 ALAMEDA DE LAS PULGAS STE 242, SAN MATEO, CA 94403-1271
(650) 931-6501
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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