Organization
SUN STREET CENTERS
Active
Parent organization
SUN STREET CENTERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUN STREET CENTERS
Authorized official
GORDON WILLIAM HORNE LAADC (CLINICAL SUPERVISOR)
(831) 809-8176
Entity
Organization
Contact information
Practice address
637 BROADWAY ST, KING CITY, CA 93930-3231
(831) 525-8101
(831) 525-8130
Mailing address
11 PEACH DR, SALINAS, CA 93901-3710
(831) 753-5145
(831) 753-6005
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270003HN
CA DHCS
CA
Enumeration date
09/06/2018
Last updated
06/11/2019
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