Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

San Mateo County

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1619155942

San Mateo County is a Mental Illness Community Based Residential Treatment Facility in Redwood City, California. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

400 Edmonds Rd
Redwood City, CA 94062-3803
Phone: (650) 839-1810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1619155942
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCanyon Oaks Youth Center
Authorized official Jason Johnson — Group Home Counselor · (707) 694-0353
NPI enumeratedFebruary 8, 2008
Last updated in NPPESFebruary 8, 2008
Mailing address400 Edmonds Rd, Redwood City, CA 94062-3803

Other providers in Redwood City