Organization
CORDILLERAS MENTAL HEALTH CORPORATION
Active
Other names
Sage House MHRC
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 292-7024
Entity
Organization
Contact information
Practice address
220 EDMONDS RD BLDG E, REDWOOD CITY, CA 94062-3813
(510) 337-7950
(510) 337-7969
Mailing address
1080 MARINA VILLAGE PKWY STE 100, ALAMEDA, CA 94501-1078
(510) 337-7950
(510) 337-7969
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
01/31/2025
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