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Organization
SUN STREET CENTERS
Active
Organization
SUN STREET CENTERS
Active
Other names
Sun Street Center Sobering Center
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON WILLIAM HORNE LAADC #LCI0170115 (CLINICAL SUPERVISOR)
(831) 809-8176
Entity
Organization
Contact information
Practice address
119 CAPITOL ST, SALINAS, CA 93901-2013
(831) 272-3983
(831) 272-3986
Mailing address
119 CAPITOL ST, SALINAS, CA 93901-2013
(831) 272-3983
(831) 272-3986
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
405300000X
Prevention Professional
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TBA
BUSINESS LICENSE
CA
Enumeration date
10/16/2018
Last updated
10/16/2018
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