Organization
CIELO HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT RICHELSON M.D. (PRESIDENT, TREASURER)
(904) 605-4986
Entity
Organization
Contact information
Practice address
750 EL CAMINO REAL, BURLINGAME, CA 94010
(650) 739-6001
(866) 398-5858
Mailing address
750 EL CAMINO REAL, BURLINGAME, CA 94010
(650) 739-6001
(866) 398-5858
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
46314
CA
207Q00000X
Family Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/25/2010
Last updated
02/24/2023
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