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130 W Gabilan St Salinas CA 93901-2762 | |
| (831) 758-0181 | |
| (831) 758-5127 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 130 W Gabilan St, Salinas, California |
| Authorized Official Name and Position | Chris Shannon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8317580181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
130 W Gabilan St Salinas CA 93901 Ph: (831) 758-0181 | 130 W Gabilan St Salinas CA 93901-2762 Ph: (831) 758-0181 |
| NPI Number | 1790944924 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 03/23/2021 |
| Certification Date | 03/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790944924 | NPI | - | NPPES |
| 27BVSD, 27BV8 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 27BVSD, 27BV8 (California) | Primary |
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