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NPI Code Detail

MEDICARE: SUN STREET CENTERS

MEDICARE: SUN STREET CENTERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1982567160
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUN STREET CENTERS
Provider Business Mailing Address
First Line : 245 WASHINGTON ST STE A&B
Second Line :
City : MONTEREY
State : CA
Zip : 93940-2409
Country : US
Telephone Number : 831-753-6001
Fax Number : 831-759-2269
Provider Business Practice Location Address
First Line : 245 WASHINGTON ST STE A&B
Second Line :
City : MONTEREY
State : CA
Zip : 93940-2409
Country : US
Telephone Number : 831-753-6001
Fax Number : 831-759-2269
Authorized Official
Title or Position : CLINICAL SUPERVISOR II
Name : GORDON WILLIAM HORNE
Credential : LAADC #LCI0170115
Telephone Number : 808-295-8982
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/04/2025

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Directions to “SUN STREET CENTERS ” Practice Location

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