Organization
SUN STREET CENTERS
Active
Parent organization
SUN STREET CENTERS
Other names
Sun Street Centers Women's Residential Program Hollister
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUN STREET CENTERS
Authorized official
GORDON WILLIAM HORNE LAADC (CLINICAL SUPERVISOR)
(831) 809-8176
Entity
Organization
Contact information
Practice address
343 6TH ST, HOLLISTER, CA 95023-3834
(831) 265-7317
Mailing address
11 PEACH DR, SALINAS, CA 93901-3710
(831) 809-8176
(831) 753-6005
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
350004BN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303396
CARF
CA
01
—
350004BN
STATE OF CALIFORNIA DEP. OF HEALTH CARE SERVICES
CA
Enumeration date
05/23/2018
Last updated
06/11/2019
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