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Organization
THE VILLAGE PROJECT, INCORPORATED
Active
Organization
THE VILLAGE PROJECT, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN THOMAS MASON LCSW (EXECUTIVE DIRECTOR)
(831) 392-1500
Entity
Organization
Contact information
Practice address
1069 BROADWAY AVE, SUITE 201, SEASIDE, CA 93955-4996
(831) 392-1500
(831) 392-1501
Mailing address
1069 BROADWAY AVE, SUITE 201, SEASIDE, CA 93955-4996
(831) 392-1500
(831) 392-1501
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCS20974
CA
251S00000X
Community/Behavioral Health Agency
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Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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