Organization
CENTRAL COAST EATING DISORDER PROGRAM SERVICES AND WORKSHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRELL WHITE MFT (CEO, DIRECTOR)
(805) 688-5656
Entity
Organization
Contact information
Practice address
1851 SHELL BEACH RD, SHELL BEACH, CA 93449-1860
(805) 688-5057
Mailing address
PO BOX 835, SANTA YNEZ, CA 93460-0835
(805) 688-5057
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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