Organization
COUNTY OF SAN LUIS OBISPO
Active
Other names
COMMUNITY MENTAL HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
M DAISY ILANO M.D. (MEDICAL DIRECTORS)
(805) 781-4700
Entity
Organization
Contact information
Practice address
760 MORRO BAY BLVD, MORRO BAY, CA 93442-1918
(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
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40HI
—
CA
Enumeration date
04/09/2014
Last updated
04/30/2014
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