Organization Name: | COUNTY OF SAN MATEO |
NPI Number: | 1093807315 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOUISE F ROGERS (MENTAL HEALTH DIRECTOR) |
Mailing Address: | 1290 Commodore Dr San Bruno |
State: | CA US |
Postal Code: | 940662304 |
Phone Number: | 6505831260 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 07/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |