Organization
SUN STREET CENTERS
Active
Parent organization
SUN STREET CENTERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUN STREET CENTERS
Authorized official
GORDON HORNE LAADC (CLINICAL SUPERVISOR)
(831) 809-8176
Entity
Organization
Contact information
Practice address
1201 ECHO AVE, SEASIDE, CA 93955-3719
(831) 393-9316
(831) 899-6565
Mailing address
11 PEACH DR, SALINAS, CA 93901-3710
(831) 753-5135
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270003EN
STATE OF CALIFORNIA SUBSTANCE USE DISORDER LICENSE FOR OUTPATIENT
CA
01
—
3YR/2016
C.A.R.F. COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES
CA
Enumeration date
02/05/2016
Last updated
12/15/2020
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