1366619975 NPI number — MONTEREY COUNTY BEHAVIORAL HEALTH DIVISION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366619975 NPI number — MONTEREY COUNTY BEHAVIORAL HEALTH DIVISION

Organization/Personal Information

Employer Identification Number (EIN):
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:
FITCH 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:
1366619975
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:
999 COE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEASIDE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93955-6589
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:
999 COE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEASIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93955-6589
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:
05/13/2008

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)





Copyright © 2007-2024 www.npivalidator.com