OrganizationActive
Canyon Oaks Youth Center
NPI 1497085138 · Mental Illness Community Based Residential Treatment Facility · Redwood City, CA
Provider details
- NPI number
- 1497085138
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tim Holechek, Residental Counselor Relief(650) 839-1810
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
400 Edmonds Rd
Redwood City, CA 94062-3803
Phone: (650) 839-1810
Street-level locationGet directions
Mailing address
9031 Castlewood St
Oakland, CA 94605-4407
Registry dates
- Enumerated
- 2009-12-31
- Last updated
- 2009-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.