Provider Demographics
NPI:1073144374
Name:HALLOWELL TODARO FAMILY ADHD CENTER PROF CORP
Entity Type:Organization
Organization Name:HALLOWELL TODARO FAMILY ADHD CENTER PROF CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEITLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MED
Authorized Official - Phone:650-446-4900
Mailing Address - Street 1:298 SAN ANTONIO RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-5309
Mailing Address - Country:US
Mailing Address - Phone:650-446-4900
Mailing Address - Fax:
Practice Address - Street 1:298 SAN ANTONIO RD STE 100
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-5309
Practice Address - Country:US
Practice Address - Phone:650-446-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)