Organization
COAST VALLEY WORSHIP CENTER
Active
Other names
Coast Valley Substance Abuse Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN MATTHEW HAMLIN MA (EXECUTIVE DIRECTOR)
(805) 739-1512
Entity
Organization
Contact information
Practice address
1414 S MILLER ST, STE 10 AND 11, SANTA MARIA, CA 93454-6923
(805) 739-1512
(805) 349-2855
Mailing address
1414 S MILLER ST, STE 10 AND 11, SANTA MARIA, CA 93454-6923
(805) 739-1512
(805) 349-2855
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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