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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