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County of San Luis Obispo Drug and Alcohol Service

Organization Active NPI Clinic/Center · Grover Beach, CA

NPI 1881805422 · NPPES record last updated Aug 10, 2018

Key facts

NPI
1881805422
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
License
400003DN (CA)
Legal business name
COUNTY OF SAN LUIS OBISPO DRUG AND ALCOHOL SERVICE
Practice address
1523 Longbranch Ave
Grover Beach, CA 93433
Phone
(805) 473-4759
Fax
(805) 473-7188
NPI assigned
May 25, 2007
Organization subpart
No

Authorized official

Name
Dr. Starlene M Graber, PHD, LMFT
Title
Divison Manager
Phone
(805) 781-4759

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
San Luis Obispo General (78 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 400003DN CA Yes

Addresses

Primary practice location

1523 Longbranch Ave
Grover Beach, CA 93433

Mailing address

2180 Johnson Ave
San Luis Obispo, CA 93401-4558
Phone (805) 781-4558

Other providers in Grover Beach, CA

All providers in Grover Beach, CA · Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.