1578730081 NPI number — MONTEREY COUNTY BEHAVIORAL HEALTH DIVISION

Table of content: (NPI 1578730081)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578730081 NPI number — MONTEREY COUNTY BEHAVIORAL HEALTH DIVISION

Organization/Personal Information

Employer Identification Number (EIN):
N/A
Provider Organization Name:
MONTEREY COUNTY BEHAVIORAL HEALTH DIVISION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SANTA LUCIA DAY TREATMENT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578730081
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
970 CIRCLE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALINAS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93905-2150
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
831-755-4510
Provider Business Mailing Address Fax Number:
831-424-9808

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
970 CIRCLE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALINAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93905-2150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-755-4510
Provider Business Practice Location Address Fax Number:
831-424-9808
Provider Enumeration Date:
05/14/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VEGA
Authorized Official First Name:
ZEKE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
831-755-4510

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)