Organization
LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES OF SAN MATEO COUN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA CAMARILLO (EXECUTIVE DIRECTOR)
(650) 244-1444
Entity
Organization
Contact information
Practice address
1001 SNEATH LN STE 210, SAN BRUNO, CA 94066
(650) 244-1444
(650) 244-1447
Mailing address
1001 SNEATH LN STE 307, SAN BRUNO, CA 94066-2349
(650) 244-1444
(650) 244-1447
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41491
OUTPATIENT PROGRAM
CA
Enumeration date
01/29/2007
Last updated
08/12/2024
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