Organization
SAN MATEO COUNTY
Active
Other names
Mills TDS
Organization subpart
No
Provider details
NPI number
Authorized official
JEI AFRICA (DIRECTOR)
(650) 613-2155
Entity
Organization
Contact information
Practice address
400 MURCHISON DR, MILLBRAE, CA 94030-3024
(650) 558-2566
Mailing address
400 MURCHISON DR, MILLBRAE, CA 94030-3024
(650) 558-2566
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
12/10/2024
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