Organization
LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES OF SAN MATEO COUN
Active
Organization
LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES OF SAN MATEO COUN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEBRA CAMARILLO (EXECUTIVE DIRECTOR)
(650) 244-1442
Entity
Organization
Contact information
Practice address
1724 BRYANT ST, SAN FRANCISCO, CA 94110
(415) 558-9125
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
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
380055BN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38932
AVIVA HOUSE -MOM
CA
01
—
38935
AVIVA-BABIES
CA
Enumeration date
01/29/2007
Last updated
08/12/2024
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