Organization
MATEO LODGE, INC.
Active
Other names
Cassia House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN ADAMSON (CEO)
(650) 363-8125
Entity
Organization
Contact information
Practice address
420 CASSIA ST, REDWOOD CITY, CA 94063-2011
(650) 363-8125
Mailing address
420 CASSIA ST, REDWOOD CITY, CA 94063-2011
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
410507269
CA
Other
Enumeration date
02/09/2007
Last updated
06/24/2008
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