Organization
CIELO HOUSE INC
Active
Parent organization
CIELO HOUSE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIELO HOUSE INC
Authorized official
ELLIOTT RICHELSON M.D. (DIRECTOR, PRESIDENT)
(252) 733-7374
Entity
Organization
Contact information
Practice address
323 CYPRESS AVE, MOSS BEACH, CA 94038
(650) 563-9442
(866) 398-5858
Mailing address
750 EL CAMINO REAL, BURLINGAME, CA 94010
(650) 739-6001
(866) 398-5858
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
03/23/2023
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