Organization
COUNTY OF SAN LUIS OBISPO
Active
Other names
Community Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
M DAISY ILANO M.D. (MEDICAL DIRECTOR)
(805) 781-4700
Entity
Organization
Contact information
Practice address
3556 EL CAMINO REAL, ATASCADERO, CA 93422-2532
(805) 461-6080
Mailing address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 781-4700
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/17/2014
Last updated
04/29/2014
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