Organization
SAN MATEO COUNTY
Active
Parent organization
COUNTY OF SAN MATEO
Other names
Elysian STRTP County of San Mateo
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SAN MATEO
Authorized official
MS. NATASHA BOURBONNAIS LCSW (HUMAN SERVICES MANAGER II)
(650) 802-6583
Entity
Organization
Contact information
Practice address
31 TOWER RD, SAN MATEO, CA 94402-4000
(650) 312-5320
(650) 572-2414
Mailing address
1 DAVIS DRIVE, ATTN: NATASHA BOURBONNAIS, BELMONT, CA 94002
(650) 802-6583
(650) 592-3056
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
08/25/2022
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