Provider First Line Business Practice Location Address:
SAN LUIS OBISPO COMMUNITY MENTAL HEALTH IPU
Provider Second Line Business Practice Location Address:
2179 JOHNSON AVE.
Provider Business Practice Location Address City Name:
SAN LUIS OBISPO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93408-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-781-4712
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/18/2007