Organization · Type 2 NPI

Latino Commission On Alcohol and Drug Abuse Services of San Mateo Coun

Substance Abuse Rehabilitation Facility · San Bruno, CA

NPI number 1003104340 Active

Practice location

160 Tehama Court
San Bruno, CA 94066

Mailing address

1001 Sneath Ln Ste 307
San Bruno, CA 94066-2349

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1003104340

Latino Commission On Alcohol and Drug Abuse Services of San Mateo Coun's National Provider Identifier is 1003104340, issued on Jul 20, 2011. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in San Bruno, CA. The record was last updated on Nov 13, 2023.