| Cac Westgate Center | |
|
1240 Bethel Ln Ste 1a Santa Maria CA 93458-8387 | |
| (805) 347-8400 | |
| (805) 347-8448 |
| Full Name | Cac Westgate Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1240 Bethel Ln Ste 1a, Santa Maria, 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 Westgate Center 1240 Bethel Ln Ste 1a Santa Maria CA 93458-8387 Ph: (805) 347-8400 | Cac Westgate Center 1240 Bethel Ln Ste 1a Santa Maria CA 93458-8387 Ph: (805) 347-8400 |
| NPI Number | 1679098230 |
|---|---|
| Provider Enumeration Date | 08/04/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679098230 | NPI | - | NPPES |
| 1306048905 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 28718 (California) | Primary |
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