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1086 E Grand Ave Arroyo Grande CA 93420-2505 | |
| (805) 781-4700 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1086 E Grand Ave, Arroyo Grande, California |
| Authorized Official Name and Position | Anne Robin (BEHAVORIAL HEALTH ADMINISTRATOR) |
| Authorized Official Contact | 8057814700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1086 E Grand Ave Arroyo Grande CA 93420-2505 Ph: (805) 781-4700 | 1086 E Grand Ave Arroyo Grande CA 93420-2505 Ph: (805) 781-4700 |
| NPI Number | 1194921213 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 09/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194921213 | NPI | - | NPPES |
| 4038 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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