Organization
COUNTY OF SAN LUIS OBISPO
Active
Other names
Juvenile Services Center
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS DREWS (HEALTH AGENCY DIRECTOR)
(805) 788-2135
Entity
Organization
Contact information
Practice address
1065 KANSAS AVE, SAN LUIS OBISPO, CA 93408-0001
(805) 781-4700
Mailing address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 781-4700
(805) 781-1273
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4052
—
CA
Enumeration date
12/13/2006
Last updated
05/28/2024
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