Canyon Oaks Youth Center

LBN: Canyon Oaks Youth Center
Canyon Oaks Youth Center is an health care organization with primary practice located at 400 Edmonds Rd , Redwood City CA 94062-3803. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Canyon Oaks Youth Center can be contacted via phone (650) 839-1810, or through Holechek, Tim R. via phone (650) 839-1810.

Contact Information

Primary practice address
400 Edmonds Rd Redwood City CA 94062-3803
Phone: (650) 839-1810
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holechek, Tim R. Licensed Clinical Social Worker (LCSW)
Phone: (650) 839-1810

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1497085138
LBN Legal business name Canyon Oaks Youth Center
DBA Doing business as
Authorized official Holechek, Tim R. Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2009
Last updated Dec 31st, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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