| San Luis Obispo County Mental Health Services | |
|
1350 E Grand Ave Arroyo Grande CA 93420-2422 | |
| (805) 781-4700 | |
| Not Available |
| Full Name | San Luis Obispo County Mental Health Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1350 E Grand Ave, Arroyo Grande, California |
| Authorized Official Name and Position | M. Daisy Ilano (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8057814700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Luis Obispo County Mental Health Services 1350 E Grand Ave Arroyo Grande CA 93420-2422 Ph: (805) 781-4700 | San Luis Obispo County Mental Health Services 1350 E Grand Ave Arroyo Grande CA 93420-2422 Ph: (805) 781-4700 |
| NPI Number | 1932563053 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 05/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932563053 | NPI | - | NPPES |
| 4000 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
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