Healthcare Provider Details

I. General information

NPI: 1730211178
Provider Name (Legal Business Name): MONTEREY COUNTY BEHAVIORAL HEALTH DIVISION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 08/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 NATIVIDAD RD RM 200
SALINAS CA
93906-3122
US

IV. Provider business mailing address

1270 NATIVIDAD RD RM 200
SALINAS CA
93906-3122
US

V. Phone/Fax

Practice location:
  • Phone: 831-755-4510
  • Fax: 831-755-4980
Mailing address:
  • Phone: 831-755-4510
  • Fax: 831-755-4980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EZEQUIEL VEGA
Title or Position: COO
Credential:
Phone: 831-755-4510