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Organization

COUNTY OF SAN LUIS OBISPO

Active
Other names
Atascadero Fine Arts Academy, Atascadero Junior High School
Organization subpart
No

Provider details

NPI number
Authorized official
M DAISY ILANO MD (MEDICAL DIRECTOR)
(805) 781-4700
Entity
Organization

Contact information

Practice address
6100 OLMEDA AVE, ATASCADERO, CA 93422-4204
(805) 462-4360
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
10/12/2016
Last updated
07/21/2022
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