Organization
INTERIMINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PIROCHTA (COMMUNITY SUPPORT WORKER)
(831) 384-7251
Entity
Organization
Contact information
Practice address
617 BAYONET CIR, MARINA, CA 93933-4600
(831) 384-7251
Mailing address
617 BAYONET CIR, MARINA, CA 93933-4600
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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