Slo County Drug & Alcohol Service
Organization Active NPI Community/Behavioral Health Agency · Arroyo Grande, CA
NPI 1316129372 · NPPES record last updated Dec 3, 2007
Key facts
- NPI
- 1316129372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- SLO COUNTY DRUG & ALCOHOL SERVICE
- Practice address
- 1106 Grand Ave
Arroyo Grande, CA 93420-2516 - Phone
- (805) 473-7080
- Fax
- (805) 473-7188
- NPI assigned
- Dec 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Madalyn Bethann Powell, RAS
- Title
- Specialist 1
- Phone
- (805) 473-7083
Corporate family (same tax ID) 24
Practitioners 2
-
Randall Leigh Jost, LMFT
-
Colin Douglas Quennell, LMFT
National Provider Directory
- Tax ID family
- San Luis Obispo General
Locations
1106 E Grand Ave
Ste A
Arroyo Grande, CA 93420
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CA | Yes |
Addresses
Primary practice location
1106 Grand Ave
Arroyo Grande, CA 93420-2516
Mailing address
1106 E Grand Ave
Suite a
Arroyo Grande, CA 93420-2516
Phone (805) 473-7080
Other providers in Arroyo Grande, CA
- George Kieran Sherwood
- Leslie Claire Siembieda
- Christine Silva
- Beth S Simon
- Eric Peter Simon
- Randy Dell Smart
- Ronald L Smith-Arizmendi
- Mark Smith
- Troy Anthony Smith
- Eric Sparshott
All providers in Arroyo Grande, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2007. 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.