Organization
SAN MATEO COUNTY
Active
Other names
Jefferson Union High School District (JUHSD) TDS
Organization subpart
No
Provider details
NPI number
Authorized official
JEI AFRICA (DIRECTOR)
(650) 613-2155
Entity
Organization
Contact information
Practice address
1450 TERRA NOVA BLVD, ROOMS 222 AND 223, PACIFICA, CA 94044-3615
(650) 994-4395
Mailing address
1450 TERRA NOVA BLVD RM 222, PACIFICA, CA 94044-3615
(650) 994-4395
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2006
Last updated
03/21/2024
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