Organization
MATEO LODGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN ADAMSON (C.E.O.)
(650) 363-8125
Entity
Organization
Contact information
Practice address
695 5TH AVE, REDWOOD CITY, CA 94063-3818
(650) 568-9006
Mailing address
420 CASSIA ST, REDWOOD CITY, CA 94063-2011
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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