Organization
SAN MATEO COUNTY
Active
Parent organization
CANYON OAKS YOUTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANYON OAKS YOUTH CENTER
Authorized official
JASON JOHNSON (GROUP HOME COUNSELOR)
(707) 694-0353
Entity
Organization
Contact information
Practice address
400 EDMONDS RD, REDWOOD CITY, CA 94062-3803
(650) 839-1810
Mailing address
400 EDMONDS RD, REDWOOD CITY, CA 94062-3803
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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