Cacmeridian Center | |
1720 S Depot St Bldg J Santa Maria CA 93458-7471 | |
(805) 739-0660 | |
(805) 928-0669 |
Full Name | Cacmeridian Center |
---|---|
Speciality | Counselor - Mental Health |
Location | 1720 S Depot St Bldg J, 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 |
---|---|
Cacmeridian Center 1720 S Depot St Bldg J Santa Maria CA 93458-7471 Ph: (805) 739-0660 | Cacmeridian Center 1720 S Depot St Bldg J Santa Maria CA 93458-7471 Ph: (805) 739-0660 |
NPI Number | 1598289563 |
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Provider Enumeration Date | 08/01/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598289563 | NPI | - | NPPES |
1306048905 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 28718 (California) | Primary |
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