Bay Horizon Icf-Ddh
NPI #1003208281 in San Mateo, California
Provider Information
- NPI Number
- 1003208281
- Entity Type
- Organization
- Organization Name
- Bay Horizon Icf-Ddh
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Feb 25, 2015
- Last Updated
- Feb 25, 2015
Practice Location
- Address
- 516 OCEAN VIEW AVE
- City
- San Mateo
- State
- California
- ZIP Code
- 94401-3029
- Phone
- (650) 347-1164
Authorized Official
- Name
- MISS PUREZA AGUZAR GANIO
- Title
- CEO
- Phone
- (650) 520-5545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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