| Kinship Center Clinic - Slo South County | |
|
1086 E Grand Ave Arroyo Grande CA 93420-2505 | |
| (805) 474-2105 | |
| Not Available |
| Full Name | Kinship Center Clinic - Slo South County |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1086 E Grand Ave, Arroyo Grande, California |
| Authorized Official Name and Position | Sandy Hobson (QUALITY ASSURANCE DIRECTOR) |
| Authorized Official Contact | 5107255727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinship Center Clinic - Slo South County 2275 Arlington Dr #414 San Leandro CA 94578-1132 Ph: (510) 654-4004 | Kinship Center Clinic - Slo South County 1086 E Grand Ave Arroyo Grande CA 93420-2505 Ph: (805) 474-2105 |
| NPI Number | 1497184006 |
|---|---|
| Provider Enumeration Date | 11/04/2013 |
| Last Update Date | 01/22/2020 |
| Certification Date | 01/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497184006 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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