Diversified Intervention Group
Organization Active NPI Case Management Agency · Morro Bay, CA
NPI 1396150074 · NPPES record last updated Jun 21, 2014
Key facts
- NPI
- 1396150074
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- DIVERSIFIED INTERVENTION GROUP
- Practice address
- 309 Sequoia St
Morro Bay, CA 93442-1409 - Phone
- (805) 602-0681
- NPI assigned
- Jun 21, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Edward Allen Salan
- Title
- Founding Director
- Phone
- (805) 602-0681
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
309 Sequoia St
Morro Bay, CA 93442-1409
Mailing address
309 Sequoia St
Morro Bay, CA 93442-1409
Phone (805) 602-0681
Other providers in Morro Bay, CA
- Claire V. Cuevas
- Julie Nicole Datter
- Gretchen Daulman
- Alan De Vera
- Kristin Rachelle Dejong
- Richard Lincoln Donald V
- Natalia Donici
- Deborah Ilealoha Dover
- Ross J. Dover
- Mary Ellen Ehman
All providers in Morro Bay, CA · Case Management 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 Jun 21, 2014. 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.