| Interim Inc Mchome | |
|
299 12th St Section B Marina CA 93933-6003 | |
| (831) 649-4522 | |
| (831) 647-9136 |
| Full Name | Interim Inc Mchome |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 299 12th St, Marina, California |
| Authorized Official Name and Position | Rhiyan Arafiles Quiton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8316494522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interim Inc Mchome 604 Pearl St Monterey CA 93940-3070 Ph: (831) 649-4522 | Interim Inc Mchome 299 12th St Section B Marina CA 93933-6003 Ph: (831) 649-4522 |
| NPI Number | 1558586909 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 05/25/2023 |
| Certification Date | 05/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558586909 | NPI | - | NPPES |
| IHOME | Medicaid | CA | |
| 27BX | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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