Organization
C.R.E. ENTERPRISE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN BALATBAT RYAN RNBSN (PROVIDER)
(650) 340-0025
Entity
Organization
Contact information
Practice address
2012 SHOREVIEW AVE, SAN MATEO, CA 94401-3414
(650) 348-3487
Mailing address
2012 SHOREVIEW AVE, SAN MATEO, CA 94401-3414
(650) 348-3487
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
04/30/2009
Last updated
05/01/2009
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