# SAN LUIS OBISPO BEHAVIORAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871839282
- **Authorized official:** LAILA FOUZI (WORKER I)
- **Authorized official phone:** (805) 234-0638

## Contact information

- **Practice address:** 2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
- **Practice address phone:** (805) 234-0638
- **Mailing address:** 2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2012
- **Last updated:** 12/13/2012