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Fourth And Halton Avenue Spreckles CA 93962 | |
| (831) 755-4510 | |
| (831) 424-9808 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Fourth And Halton Avenue, Spreckles, California |
| Authorized Official Name and Position | Zeke Vega (CFO) |
| Authorized Official Contact | 8317554510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Fourth And Halton Avenue Spreckles CA 93962 Ph: (831) 755-4510 | Fourth And Halton Avenue Spreckles CA 93962 Ph: (831) 755-4510 |
| NPI Number | 1730356908 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730356908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |