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-CA # LCI017011 (CLINICAL SUPERVISOR)
(831) 809-8176
Entity
Organization
Contact information
Practice address
641 BROADWAY ST, KING CITY, CA 93930-3231
(831) 525-8101
(831) 525-8130
Mailing address
11 PEACH DR, SALINAS, CA 93901-3710
(831) 809-8176
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270003GN
CALIFORNIA DEPARTMENT HEALTH CARE SERVICES
CA
Enumeration date
05/23/2018
Last updated
06/11/2019
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