| Central Coast Eating Disorder Program Services And Workshop | |
|
1851 Shell Beach Rd Shell Beach CA 93449-1860 | |
| (805) 688-5057 | |
| Not Available |
| Full Name | Central Coast Eating Disorder Program Services And Workshop |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1851 Shell Beach Rd, Shell Beach, California |
| Authorized Official Name and Position | Terrell White (CEO, DIRECTOR) |
| Authorized Official Contact | 8056885656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Coast Eating Disorder Program Services And Workshop Po Box 835 Santa Ynez CA 93460-0835 Ph: (805) 688-5057 | Central Coast Eating Disorder Program Services And Workshop 1851 Shell Beach Rd Shell Beach CA 93449-1860 Ph: (805) 688-5057 |
| NPI Number | 1205090719 |
|---|---|
| Provider Enumeration Date | 07/14/2008 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205090719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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