Healthcare Provider Details

I. General information

NPI: 1942657630
Provider Name (Legal Business Name): INTERIM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2016
Last Update Date: 05/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 PAJARO ST
SALINAS CA
93901-3499
US

IV. Provider business mailing address

604 PEARL ST
MONTEREY CA
93940-3070
US

V. Phone/Fax

Practice location:
  • Phone: 831-800-7530
  • Fax:
Mailing address:
  • Phone: 831-646-2220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberLMFT 91048
License Number StateCA

VIII. Authorized Official

Name: MS. CARMEN TORRES
Title or Position: DIRECTOR
Credential:
Phone: 831-800-7530