Organization
INTERIM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GAST (WELLNESS RECOVERY COORDINATOR)
(660) 562-7800
Entity
Organization
Contact information
Practice address
604 PEARL ST, INTERIM INC, MONTEREY, CA 93940-3070
(816) 649-4522
Mailing address
412 DELA VINA AVE, APT 30, MONTEREY, CA 93940-3962
(660) 562-7800
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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