Good Samaritan Shelter
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Santa Maria, CA
NPI 1184333643 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1184333643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- GOOD SAMARITAN SHELTER
- Practice address
- 1401 E Main St
Santa Maria, CA 93454-4801 - Phone
- (805) 623-5304
- NPI assigned
- Nov 23, 2022
- Organization subpart
- No
Authorized official
- Name
- Chelsea Laurel Jensen, LMFT
- Title
- Mental Health Director
- Phone
- (805) 347-3338
Corporate family (same tax ID) 29
National Provider Directory
- Tax ID family
- Good Samaritan Shelter Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
1401 E Main St
Santa Maria, CA 93454-4801
Mailing address
400 W Park Ave
Santa Maria, CA 93458-6116
Phone (805) 623-5304
Other providers in Santa Maria, CA
- Yolanda Denisse Gonzalez
- Good Samaritan
- Good Samaritan Services
- Good Samaritan Shelter
- Good Samaritan Shelter
- Good Samaritan Shelter
- Good Samaritan Shelter
- Good Samaritan Shelter
- Good Samaritan Shelter
- Good Samaritan Shelter
All providers in Santa Maria, CA · Substance Use Disorder Rehabilitation Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.