Organization
EXCELL READINESS CENTER
Active
Parent organization
MOSS BEACH HOMES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOSS BEACH HOMES, INC.
Authorized official
MR. VERNON BROWN (CHIEF EXECUTIVE OFFICER)
(650) 866-4080
Entity
Organization
Contact information
Practice address
22 TOWER RD, SAN MATEO, CA 94402-4035
(650) 312-5211
(650) 578-1213
Mailing address
22 TOWER RD, SAN MATEO, CA 94402-4035
(650) 312-5211
(650) 578-1213
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Enumeration date
02/16/2007
Last updated
08/27/2007
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