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Mateo Lodge, Inc.
Mental Illness Community Based Residential Treatment Facility in San Mateo, California
NPI 1255474920

Mateo Lodge, Inc. is a Mental Illness Community Based Residential Treatment Facility based in San Mateo, CA. Mateo Lodge, Inc. practices in San Mateo, CA. The NPI Number for Mateo Lodge, Inc. is 1255474920 and holds a License No. 415600236 (California).

The current practice location address for Mateo Lodge, Inc. is 232 S Humboldt St, San Mateo, CA and can be reached out via phone at 650-568-9006.

Location: 232 S Humboldt St, San Mateo, CA, 94401-2954
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255474920
Provider Name
Mateo Lodge, Inc.
Credential
Provider Entity Type
Organization
Address
232 S Humboldt St, San Mateo, CA, 94401-2954
Phone Number
650-568-9006
Fax Number
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
232 S Humboldt St
City
San Mateo
State
California
Zip
94401-2954
Phone Number
650-568-9006
Fax Number
person
Provider Business Mailing Address Details
Address
232 S Humboldt St
City
San Mateo
State
California
Zip
94401-2954
Phone Number
650-568-9006
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
415600236 (California)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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