Organization · Type 2 NPI
Mateo Lodge, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) · San Mateo, CA
NPI number
1255474920
Active
Practice location
232 S Humboldt St
San Mateo, CA 94401-2954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 415600236 (CA) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
2 other providers at this address
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About NPI 1255474920
Mateo Lodge, Inc.'s National Provider Identifier is 1255474920, issued on Feb 14, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in San Mateo, CA. The record was last updated on Aug 12, 2025.