Sun Street Centers | |
3043 Macarthur Dr Marina CA 93933-4763 | |
(831) 582-9461 | |
Not Available |
Full Name | Sun Street Centers |
---|---|
Speciality | Community/behavioral Health |
Location | 3043 Macarthur Dr, Marina, California |
Authorized Official Name and Position | Gordon Horne (CLINICAL COORDINATOR) |
Authorized Official Contact | 8318098176 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sun Street Centers 11 Peach Dr Salinas CA 93901-3710 Ph: (831) 753-5135 | Sun Street Centers 3043 Macarthur Dr Marina CA 93933-4763 Ph: (831) 582-9461 |
NPI Number | 1063870962 |
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Provider Enumeration Date | 02/05/2016 |
Last Update Date | 05/01/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063870962 | NPI | - | NPPES |
3 YRS/2016 | Other | CA | CARF COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES |
270003BN | Other | CA | STATE OF CALIFORNIA SUBSTANCE USE DISORDER OUTPATIENT TREATMENT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 270003BN (California) | Primary |
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