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Anthony Mccrory
Substance Abuse Rehabilitation Facility in San Mateo, California
NPI 1053967661

Anthony Mccrory is a Substance Abuse Rehabilitation Facility based in San Bruno, CA. Anthony Mccrory practices in San Mateo, CA. The NPI Number for Anthony Mccrory is 1053967661 and holds a License No. (California).

The current practice location address for Anthony Mccrory is 900 Laurel Ave, San Mateo, CA and can be reached out via phone at 415-357-2312.

Location: 900 Laurel Ave, San Mateo, CA, 94066-5518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053967661
Provider Name
Anthony Mccrory
Credential
Provider Entity Type
Individual
Gender
Male
Address
900 Laurel Ave, San Mateo, CA, 94066-5518
Phone Number
415-357-2312
Fax Number
Provider Enumeration Date
08/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
900 Laurel Ave
City
San Mateo
State
California
Zip
94401-4211
Phone Number
415-357-2312
Fax Number
person
Provider Business Mailing Address Details
Address
900 Laurel Ave
City
San Mateo
State
California
Zip
94401-4211
Phone Number
415-357-2312
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
(California)
Definition
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.
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