Organization
CENTRAL COAST TRSTMENT CENTER
Active
Organization
CENTRAL COAST TRSTMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GREGG GOODWIN I LMFT (CFO)
(805) 801-1299
Entity
Organization
Contact information
Practice address
201 S MILLER ST STE 104, SANTA MARIA, CA 93454-5248
(805) 801-1299
Mailing address
201 S MILLER ST STE 104, SANTA MARIA, CA 93454-5248
(805) 801-1299
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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