CANYON OAKS NPI 1083944474

NPI Information

NPI: 1083944474
Provider Name: CANYON OAKS
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
400 EDMONDS RD.
REDWOOD CITY, CA
ZIP 94062
Phone: (650) 839-1810
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CANYON OAKS is a mental health counselor in Redwood City, CA. CANYON OAKS NPI is 1083944474. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 EDMONDS RD.
REDWOOD CITY, CA
ZIP 94062
Phone: (650) 839-1810

The provider's authorized official is Tim Holocheck .
The authorized official title is Lcws and has the following contact phone number (408) 313-7317.

The enumeration date for this NPI number is 1/6/2010 and was last updated on 2/5/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		CALIFORNIA	Yes

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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