Organization · Type 2 NPI
Mateo Lodge, Inc.
Mental Illness Community Based Residential Treatment Facility · Redwood City, CA
NPI number
1447393202
Active
Practice location
164 Poplar Ave
Redwood City, CA 94061-3013
Mailing address
420 Cassia St
Redwood City, CA 94063-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1447393202
Mateo Lodge, Inc.'s National Provider Identifier is 1447393202, issued on Feb 14, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Redwood City, CA. The record was last updated on Jun 24, 2008.