Organization
CENTRAL COAST THERAPY
Active
Organization
CENTRAL COAST THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BRANCH (OWNER)
(805) 423-7207
Entity
Organization
Contact information
Practice address
1104 VINE ST, SUITE A, PASO ROBLES, CA 93446-5502
(805) 591-7234
(805) 259-4720
Mailing address
1104 VINE ST, SUITE A, PASO ROBLES, CA 93446-5502
(805) 591-7234
(805) 259-4720
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC50213
CA
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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