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San Mateo Medical Center Methadone Treatment Program
Methadone Clinic in Menlo Park, California
NPI 1487872974

San Mateo Medical Center Methadone Treatment Program is a Methadone Clinic based in San Mateo, CA and is specialized in Methadone. San Mateo Medical Center Methadone Treatment Program practices in Menlo Park, CA. The NPI Number for San Mateo Medical Center Methadone Treatment Program is 1487872974 and holds a License No. 4104 (California).

The current practice location address for San Mateo Medical Center Methadone Treatment Program is 795 Willow Rd, Menlo Park, CA and can be reached out via phone at 650-578-7190.

Location: 795 Willow Rd, Menlo Park, CA, 94403-4364
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487872974
Provider Name
San Mateo Medical Center Methadone Treatment Program
Credential
Provider Entity Type
Organization
Address
795 Willow Rd, Menlo Park, CA, 94403-4364
Phone Number
650-578-7190
Fax Number
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HDC70098F 05 CA
institution
Provider Business Practice Location Address Details
Address
795 Willow Rd
City
Menlo Park
State
California
Zip
94025-2539
Phone Number
650-578-7190
Fax Number
person
Provider Business Mailing Address Details
Address
795 Willow Rd
City
Menlo Park
State
California
Zip
94025-2539
Phone Number
650-578-7190
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
4104 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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