Organization
CENTRAL COAST TREATMENT CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GREGG GOODWIN MA, MFT INTERN #4680 (VICE PRESIDENT & CFO)
(805) 349-1017
Entity
Organization
Contact information
Practice address
1880 SEQUOIA DR, SANTA MARIA, CA 93454-7646
(805) 349-1017
Mailing address
1880 SEQUOIA DR, SANTA MARIA, CA 93454-7646
(805) 349-1017
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/15/2010
Last updated
05/15/2010
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