Healthcare Provider Details
I. General information
NPI: 1669892253
Provider Name (Legal Business Name): MONTEREY COUNTY BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/22/2014
Last Update Date: 09/08/2023
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 S MAIN ST #210B/STE 311
SALINAS CA
93901-2352
US
IV. Provider business mailing address
1000 S MAIN ST #210B
SALINAS CA
93901-2352
US
V. Phone/Fax
- Phone: 831-755-4545
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
SEMO
Title or Position: QUALITY IMPROVEMENT
Credential:
Phone: 831-755-4545