Organization
COUNTY OF SAN LUIS OBISPO
Active
Other names
Managed Care Program Call Center
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL KOENIG (ACCOUNT SERVICES OFFICER)
(805) 781-4720
Entity
Organization
Contact information
Practice address
2945 MCMILLAN AVE STE 136, SAN LUIS OBISPO, CA 93401-6774
(805) 781-5563
Mailing address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4558
(805) 781-4700
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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