Healthcare Provider Details

I. General information

NPI: 1104012186
Provider Name (Legal Business Name): MONTEREY COUNTY BEHAVIORAL HEALTH DIVISION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2007
Last Update Date: 07/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1114 FONTES LN
SALINAS CA
93907-1823
US

IV. Provider business mailing address

1114 FONTES LN
SALINAS CA
93907-1823
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ZEKE VEGA
Title or Position: CFO
Credential:
Phone: 831-755-4578