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NPI 1407344641

NPI 1407344641 : INTERIM, INC. : MONTEREY, CA

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General NPI Number Information
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    NPI Number           |    1407344641
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    Entity Type          |    Organization 
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    Legal Business Name  |    INTERIM, INC. 
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Dates
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    Enumeration Date     |    04/24/2018
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    Last Update Date     |    05/24/2024
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Provider Practice Location Address
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    Address Line         |    343 DELA VINA AVE 
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    City                 |    MONTEREY
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    State                |    CA
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    Zip                  |    93940-3974
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    Country              |    US
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    Telephone            |    831-649-4522
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    Fax                  |    831-647-9136
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Provider Business Mailing Address
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    Address Line         |    604 PEARL ST 
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    City                 |    MONTEREY
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    State                |    CA
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    Zip                  |    93940-3070
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    Country              |    US
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    Telephone            |    831-649-4522
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    Fax                  |    831-647-9136
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     RHIYAN ARAFILES QUITON 
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    Credential           |    
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    Telephone            |    831-649-4522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    320800000X
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    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
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    License Number       |    275202610
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    License Number State |    CA
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