Healthcare Provider Details

I. General information

NPI: 1396172391
Provider Name (Legal Business Name): COUNTY OF MONTEREY BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2013
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 CONSTITUTION BLVD STE 200
SALINAS CA
93906-3127
US

IV. Provider business mailing address

1441 CONSTITUTION BLVD STE 200
SALINAS CA
93906-3127
US

V. Phone/Fax

Practice location:
  • Phone: 831-796-1700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AVAMASAGA SEMO
Title or Position: MRT
Credential:
Phone: 831-755-4545