Organization
COUNTY OF SAN LUIS OBISPO
Active
Other names
Leffingwell High School
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL KOENIG (AUTHORIZED OFFICIAL)
(805) 781-4720
Entity
Organization
Contact information
Practice address
2820 SANTA ROSA CREEK RD, CAMBRIA, CA 93428-3524
(805) 927-7148
Mailing address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 781-4700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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