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

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone 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.