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6.1.E. - Page 17 <br /> CONTRACTOR CONTACT INFORMATION SHEET <br /> San Mateo County Behavioral Health and Recovery Services <br /> Contractor Name: Citv of Redwood Citv <br /> Contact: Email: <br /> Address: <br /> Phone: Fax: <br /> Please provide the name and contact information for the individual responsible for each area below. <br /> Contract Approval: Phone: <br /> Fax: E-mail: <br /> Address (if different than above): <br /> Clinical Services/Documentation: Phone: <br /> Fax: E-mail: <br /> Address (if different than above): <br /> Performance Outcome Data: Phone: <br /> Fax: E-mail: <br /> Address (if different than above): <br /> Billing: Phone: <br /> Fax: E-mail: <br /> Address (if different than above): <br /> Cost Report: Phone: <br /> F ax: E-mail: <br /> Address (if different than above): <br /> Please fax to (650) 573-2841 <br />