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10650 Road 256 Terra Bella CA 93270-9721 | |
(805) 242-0135 | |
Not Available |
Full Name | |
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Speciality | Community Based Residential Treatment Facility, Mental Illness |
Location | 10650 Road 256, Terra Bella, California |
Authorized Official Name and Position | Christopher Luis Zubiate (PRESIDENT & CEO) |
Authorized Official Contact | 8052420135 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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310 James Way Ste 250 Pismo Beach CA 93449-2877 Ph: (805) 242-0135 | 10650 Road 256 Terra Bella CA 93270-9721 Ph: (805) 242-0135 |
NPI Number | 1134598022 |
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Provider Enumeration Date | 09/21/2015 |
Last Update Date | 10/15/2024 |
Certification Date | 10/15/2024 |
Identifier | Type | State | Issuer |
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1134598022 | NPI | - | NPPES |