| Salt | |
|
302 N El Camino Real Ste 202 San Clemente CA 92672-4778 | |
| (949) 682-5521 | |
| Not Available |
| Full Name | Salt |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 302 N El Camino Real Ste 202, San Clemente, California |
| Authorized Official Name and Position | Lyssa Kerrigan (OWNER) |
| Authorized Official Contact | 9496825521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt 302 N El Camino Real Ste 202 San Clemente CA 92672-4778 Ph: (949) 682-5521 | Salt 302 N El Camino Real Ste 202 San Clemente CA 92672-4778 Ph: (949) 682-5521 |
| NPI Number | 1700453263 |
|---|---|
| Provider Enumeration Date | 06/04/2021 |
| Last Update Date | 06/04/2021 |
| Certification Date | 06/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700453263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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