Organization
COUNTY OF SAN LUIS OBISPO
Active
Other names
COMMUNITY MENTAL HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
M DAISY ILANO MD (MEDICAL DIRECTOR)
(805) 781-4700
Entity
Organization
Contact information
Practice address
3500 EL CAMINO REAL, ATASCADERO, CA 93422-2531
(805) 781-4700
Mailing address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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