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Organization
COUNTY OF SAN LUIS OBISPO
Active
Organization
COUNTY OF SAN LUIS OBISPO
Active
Other names
Juvenile Services Center
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS DREWS (HEALTH AGENCY DIRECTOR)
(805) 788-2135
Entity
Organization
Contact information
Practice address
1065 KANSAS AVE, SAN LUIS OBISPO, CA 93408-0001
(805) 781-4700
Mailing address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 781-4700
(805) 781-1273
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4052
—
CA
Enumeration date
12/13/2006
Last updated
05/28/2024
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