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Organization

COUNTY OF SAN LUIS OBISPO

Active
Other names
SAN LUIS OBISPO COUNTY MENTAL HEALTH SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
ENRIQUE P LIMON (MEDICAL BILLING MANAGER)
(805) 781-4021
Entity
Organization

Contact information

Practice address
40 PRADO RD, SAN LUIS OBISPO, CA 93401-7313
(805) 781-4021
Mailing address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4558

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
12/04/2020
Last updated
12/04/2020
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