Organization
SUN STREET CENTERS
Active
Parent organization
SUN STREET CENTERS
Other names
Sun Street Centers
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
34 PRADO ROAD, SAN LUIS OBISPO, CA 93401
(831) 753-5135
(831) 753-5163
Mailing address
34 PRADO ROAD, SAN LUIS OBISPO, CA 93401
(831) 809-8176
(831) 753-5163
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
02/25/2022
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