Organization
CENTRAL COAST HEADWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MOORE M.A (EXECUTIVE DIRECTOR)
(805) 922-2106
Entity
Organization
Contact information
Practice address
318 CARMEN LN, SANTA MARIA, CA 93458-7754
(805) 922-2106
(805) 922-2751
Mailing address
318 CARMEN LN, SANTA MARIA, CA 93458-7754
(805) 922-2106
(805) 922-2751
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
4200201120
CA
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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