1. Home
  2. Directory
  3. California
  4. San Mateo
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

PALM AVENUE DETOX
NPI 1689961617
Substance Abuse Rehabilitation Facility in San Mateo, CA

Active since June 28, 2011CLIA 05D2310730 · Waiver
2251 PALM AVE, SAN MATEO, CA 94403(650) 513-6500(650) 345-7023 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Palm Avenue Detox NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALM AVENUE DETOX (NPI 1689961617) is a healthcare organization registered as a substance abuse rehabilitation facility in San Mateo, California and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through September 8, 2026 and lists Mark Cloutier, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1689961617
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameHORIZON SERVICES, INCORPORATED
Location Address2251 PALM AVESan Mateo, CA 94403-1814
Mailing AddressPo Box 4217Hayward, CA 94540-4217 · (510) 582-2100 · Fax (510) 582-1221
Phone(650) 513-6500
Fax(650) 345-7023
Organization SubpartNo
Authorized OfficialMark CloutierExecutive Director · (510) 582-2100
Enumeration DateJune 28, 2011
Last NPPES UpdateMay 23, 2022
NPPES CertifiedMay 23, 2022
✔ NPI 1689961617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2251 PALM AVE, San Mateo, CA 94403
Open in Google Maps ↗

Other Names 1

Doing Business AsPalm Avenue Detox

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2310730

Palm Ave Detox · San Mateo, CA
Active · expires Sep 8, 2026
CLIA Number05D2310730
Laboratory TypeDhcs Sud Treatment Progra
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorBelis Aladag
Laboratory Phone(209) 603-3915
Laboratory LocationPalm Ave Detox2251 Palm Ave, San Mateo, CA 94403
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BILL HADDOCK
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6500
MARICELA CALVILLO
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE, 2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6503
MICHAEL LEWIS ZUMKELLER R1592701224
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (209) 273-6265
JOHN MICHAEL MEDINA JR.
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6500
MS. ABBY LUCE
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6503
AMY FRANKEN SUDRC 17921
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6500
ALYSSA CHANELLE ZARAGOZA LVN
Licensed Vocational Nurse
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6500
RAFAEL FLORES
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Horizon Services, Incorporated's NPI number?

The NPI number for Horizon Services, Incorporated is 1689961617. It was assigned to this organization in the NPPES registry on June 28, 2011. The provider is doing business as Palm Avenue Detox.

Where is Horizon Services, Incorporated located?

Horizon Services, Incorporated is located at 2251 Palm Ave, San Mateo, CA 94403. The listed phone number is (650) 513-6500.

What is Horizon Services, Incorporated's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Horizon Services, Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2310730) is associated with this NPI, valid through September 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Horizon Services, Incorporated was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.