Healthcare Provider Details

I. General information

NPI: 1740804574
Provider Name (Legal Business Name): INTERIM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2020
Last Update Date: 06/08/2020
Certification Date: 06/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 PAJARO ST
SALINAS CA
93901-3400
US

IV. Provider business mailing address

PO BOX 3222
MONTEREY CA
93942-3222
US

V. Phone/Fax

Practice location:
  • Phone: 831-800-7530
  • Fax: 831-883-3034
Mailing address:
  • Phone: 831-649-4522
  • Fax: 831-883-3031

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: BARBARA L. MITCHELL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 831-649-4522