Ag Wellness Center Safe Haven | |
203 Bridge St Arroyo Grande CA 93420-3311 | |
(805) 489-9659 | |
(805) 540-6501 |
Full Name | Ag Wellness Center Safe Haven |
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Speciality | Counselor |
Location | 203 Bridge St, Arroyo Grande, California |
Authorized Official Name and Position | Jill Bolster-white (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8055406500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ag Wellness Center Safe Haven Po Box 15408 San Luis Obispo CA 93406-5408 Ph: (805) 540-6500 | Ag Wellness Center Safe Haven 203 Bridge St Arroyo Grande CA 93420-3311 Ph: (805) 489-9659 |
NPI Number | 1093997215 |
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Provider Enumeration Date | 11/29/2007 |
Last Update Date | 12/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093997215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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