|
| |
|
1103 Toro St San Luis Obispo CA 93401-3329 | |
| (805) 781-4700 | |
| (805) 781-1273 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1103 Toro St, San Luis Obispo, California |
| Authorized Official Name and Position | Kimberly Miramon (CHIEF FISCAL OFFICER BEHAVIORAL HEA) |
| Authorized Official Contact | 8057882932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1103 Toro St San Luis Obispo CA 93401-3329 Ph: (805) 781-4700 | 1103 Toro St San Luis Obispo CA 93401-3329 Ph: (805) 781-4700 |
| NPI Number | 1851533798 |
|---|---|
| Provider Enumeration Date | 03/24/2009 |
| Last Update Date | 08/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851533798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Restorative Partners, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3196 S Higuera St Ste D, San Luis Obispo, CA 93401 Phone: 805-242-1272 | |
County Of San Luis Obispo Drug And Alcohol Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2945 Mcmillan Ave, Ste. 136, San Luis Obispo, CA 93401 Phone: 805-781-4275 | |
The Bauman Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1368 Marsh St, San Luis Obispo, CA 93401 Phone: 805-540-7060 Fax: 805-540-7063 | |