| Community Mental Health Services | |
|
1523 Longbranch Ave Grover Beach CA 93433-2508 | |
| (805) 473-7080 | |
| Not Available |
| Full Name | Community Mental Health Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1523 Longbranch Ave, Grover Beach, California |
| Authorized Official Name and Position | M Daisy Ilano (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8057814700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Mental Health Services 2178 Johnson Ave San Luis Obispo CA 93401-4535 Ph: (805) 781-4700 | Community Mental Health Services 1523 Longbranch Ave Grover Beach CA 93433-2508 Ph: (805) 473-7080 |
| NPI Number | 1982024956 |
|---|---|
| Provider Enumeration Date | 04/17/2014 |
| Last Update Date | 04/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982024956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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