# SAN LUIS OBISPO COUNTY CCS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atascadero Medical Therapy Unit
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255421046
- **Authorized official:** GAIL FREILER (SUPERVISING THERAPIST)
- **Authorized official phone:** (805) 461-6126

## Contact information

- **Practice address:** 8500 SAN GABRIEL RD, BOX A, ATASCADERO, CA 93422-4940
- **Practice address phone:** (805) 461-6126
- **Practice address fax:** (805) 461-5138
- **Mailing address:** 8500 SAN GABRIEL RD, BOX A, ATASCADERO, CA 93422-4940
- **Mailing address phone:** (805) 461-6126
- **Mailing address fax:** (805) 461-5138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 08/22/2020