Healthcare Provider Details

I. General information

NPI: 1932324381
Provider Name (Legal Business Name): INTERIM, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CASENTINI ST
SALINAS CA
93907-2299
US

IV. Provider business mailing address

604 PEARL ST
MONTEREY CA
93940-3070
US

V. Phone/Fax

Practice location:
  • Phone: 831-649-4522
  • Fax: 831-647-9136
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number275200797
License Number StateCA

VIII. Authorized Official

Name: RHIYAN ARAFILES QUITON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 831-649-4522