MATEO LODGE, INC.
Residential Treatment Facilities at Humboldt St, San Mateo, CA

License number
California 415600236
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Illness
Owner
Name: MR. IAN ADAMSON
Title: CEO
Phone: (650) 363-8125
Address
Address
232 S Humboldt St, San Mateo, CA 94401
National Provider ID: 1255474920
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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