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LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES OF SAN MATEO COUN NPI 1003104340


NPI Information

NPI: 1003104340
Provider Name: LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES OF SAN MATEO COUN
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
160 TEHAMA COURT
SAN BRUNO, CA
ZIP 94066
Phone: (650) 624-0280
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LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES OF SAN MATEO COUN is a substance abuse rehabilitation facility in San Bruno, CA. The provider is 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. LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES OF SAN MATEO COUN NPI is 1003104340. The provider is registered as an organization entity type.

The provider's business location address is:

160 TEHAMA COURT
SAN BRUNO, CA
ZIP 94066
Phone: (650) 624-0280

The provider's authorized official is Maria Newson .
The authorized official title is Associate Director Of Operations and has the following contact phone number (650) 244-1442.

The enumeration date for this NPI number is 7/20/2011 and was last updated on 11/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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