NPI 1821232141

C.R.E. Enterprise, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility San Mateo, CA

Practice location

Address: 2012 Shoreview Ave, San Mateo, CA 94401-3414
Phone: (650) 348-3487

Authorised official

Name: Evelyn Balatbat Ryan
Title: Provider
Phone: (650) 340-0025

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1821232141
Entity type: Organization
NPI issued: 30 Apr 2009
Record last updated: 1 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.