Healthcare Provider Details

I. General information

NPI: 1639201676
Provider Name (Legal Business Name): MONTEREY COUNTY BEHAVIORAL HEALTH SERVICES CAYUGA CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 07/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 CAYUGA ST
SALINAS CA
93901-2626
US

IV. Provider business mailing address

115 CAYUGA ST
SALINAS CA
93901-2626
US

V. Phone/Fax

Practice location:
  • Phone: 831-796-3066
  • Fax: 831-751-6771
Mailing address:
  • Phone: 831-796-3066
  • Fax: 831-751-6771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

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