Healthcare Provider Details

I. General information

NPI: 1669196986
Provider Name (Legal Business Name): COUNTY OF MONTEREY BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2022
Last Update Date: 09/29/2022
Certification Date: 09/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 N MAIN ST
SALINAS CA
93906-2042
US

IV. Provider business mailing address

1870 N MAIN ST
SALINAS CA
93906-2042
US

V. Phone/Fax

Practice location:
  • Phone: 831-755-4545
  • Fax: 831-755-4350
Mailing address:
  • Phone: 831-755-4545
  • Fax: 831-755-4350

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: AVAMASAGA SEMO
Title or Position: MEDICAL RECORDS
Credential:
Phone: 831-755-4545