Organization
CENTRAL COAST EATING DISORDER PROGRAM SERVICES AND WORKSHOP
Active
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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