Mateo Lodge, Inc.
NPI #1255474920 in San Mateo, California
Provider Information
- NPI Number
- 1255474920
- Entity Type
- Organization
- Organization Name
- Mateo Lodge, Inc.
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Aug 12, 2025
Practice Location
- Address
- 232 S HUMBOLDT ST
- City
- San Mateo
- State
- California
- ZIP Code
- 94401-2954
- Phone
- (650) 568-9006
Authorized Official
- Name
- MARY BETH SANDOVAL
- Title
- CEO
- Phone
- (650) 703-3462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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