| Good Samaritan Shelter | |
|
218 Carmen Ln Ste 211 Santa Maria CA 93458-7774 | |
| (805) 623-5304 | |
| Not Available |
| Full Name | Good Samaritan Shelter |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 218 Carmen Ln Ste 211, Santa Maria, California |
| Authorized Official Name and Position | Chelsea Laurel Jensen (DIRECTOR OF MENTAL HEALTH) |
| Authorized Official Contact | 8053473338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Shelter 400 W Park Ave Santa Maria CA 93458-6116 Ph: () - | Good Samaritan Shelter 218 Carmen Ln Ste 211 Santa Maria CA 93458-7774 Ph: (805) 623-5304 |
| NPI Number | 1558133090 |
|---|---|
| Provider Enumeration Date | 10/27/2023 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558133090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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