| Cac Cuyama Center | |
|
2300 Ca-166 New Cuyama CA 93254 | |
| (661) 766-2759 | |
| (661) 766-2783 |
| Full Name | Cac Cuyama Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2300 Ca-166, New Cuyama, California |
| Authorized Official Name and Position | David Laurel Scott (CLINICAL SERVICES DIRECTOR) |
| Authorized Official Contact | 8052604676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cac Cuyama Center 2300 Ca-166 New Cuyama CA 93254 Ph: (661) 766-2759 | Cac Cuyama Center 2300 Ca-166 New Cuyama CA 93254 Ph: (661) 766-2759 |
| NPI Number | 1922522754 |
|---|---|
| Provider Enumeration Date | 08/02/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922522754 | NPI | - | NPPES |
| 1306048905 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 28718 (California) | Primary |
Cuyama Valley High School Telehealth Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7670 Cuyama Hwy, New Cuyama, CA 93254 Phone: 805-555-5555 |