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1223 Higuera St Ste 101 San Luis Obispo CA 93401-3167 | |
(805) 541-8581 | |
Not Available |
Full Name | |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1223 Higuera St Ste 101, San Luis Obispo, California |
Authorized Official Name and Position | Amy D'amato (CONTRACTS MANAGER) |
Authorized Official Contact | 8052643388 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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218 N I St Lompoc CA 93436-0909 Ph: () - | 1223 Higuera St Ste 101 San Luis Obispo CA 93401-3167 Ph: (805) 541-8581 |
NPI Number | 1184111494 |
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Provider Enumeration Date | 04/23/2018 |
Last Update Date | 04/23/2018 |
Identifier | Type | State | Issuer |
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1184111494 | NPI | - | NPPES |
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