Organization
SUN STREET CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON HORNE LAADC (CLINICAL COORDINATOR)
(831) 809-8176
Entity
Organization
Contact information
Practice address
8 SUN ST, SALINAS, CA 93901
(831) 753-5145
(831) 753-6005
Mailing address
11 PEACH DRIVE, SALINAS, CA 93901-3714
(831) 753-5135
(831) 753-6005
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
270003AN
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-063376
BOARD CERT. C.A.S.
CA
01
—
270003AN
STATE LICENSE ADP
CA
Enumeration date
02/12/2007
Last updated
05/01/2019
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