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Organization
SAN LUIS OBISPO BEHAVIORAL HEALTH
Active
Organization
SAN LUIS OBISPO BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARM R. CUNETTO (STUDENT INTERN)
(805) 781-4750
Entity
Organization
Contact information
Practice address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 904-8429
Mailing address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 904-8429
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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