| California Department Of Corrections And Rehabilitation | |
|
Highway One San Luis Obispo CA 93406-0144 | |
| (805) 547-7900 | |
| Not Available |
| Full Name | California Department Of Corrections And Rehabilitation |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | Highway One, San Luis Obispo, California |
| Authorized Official Name and Position | Heidi Switzer (SUPERVISOR) |
| Authorized Official Contact | 8055477900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Department Of Corrections And Rehabilitation Po Box 144 San Luis Obispo CA 93406-0144 Ph: (805) 547-7900 | California Department Of Corrections And Rehabilitation Highway One San Luis Obispo CA 93406-0144 Ph: (805) 547-7900 |
| NPI Number | 1891118220 |
|---|---|
| Provider Enumeration Date | 01/21/2014 |
| Last Update Date | 01/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891118220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | PSY17187 (California) | Primary |
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