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Organization
COAST VALLEY SUBSTANCE ABUSE TREATMENT CENTER
Active
Organization
COAST VALLEY SUBSTANCE ABUSE TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT HAMLIN (EXECUTIVE DIRECTOR)
(805) 739-1512
Entity
Organization
Contact information
Practice address
1414 S MILLER ST STE 11, SANTA MARIA, CA 93454-6916
(805) 773-9151
Mailing address
1414 S MILLER ST STE 11, SANTA MARIA, CA 93454-6916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1023-R
CA
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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