| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 124 River Rd, Salinas, California |
| Authorized Official Name and Position | Scott Osborn (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5105200943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2275 Arlington Dr San Leandro CA 94578-1132 Ph: (510) 654-4004 | 124 River Rd Salinas CA 93908-9601 Ph: (831) 455-9965 |
| NPI Number | 1841578622 |
|---|---|
| Provider Enumeration Date | 07/28/2011 |
| Last Update Date | 09/05/2023 |
| Certification Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841578622 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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