| Central Coast Treatment Center | |
|
508 Higueroa St San Luis Obispo CA 93401 | |
| (805) 688-5057 | |
| (805) 594-1460 |
| Full Name | Central Coast Treatment Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 508 Higueroa St, San Luis Obispo, California |
| Authorized Official Name and Position | Cathy Meyer-uyehara (CEO) |
| Authorized Official Contact | 8083865849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Coast Treatment Center 16-643 Kipimana St Ste 20 Keaau HI 96749-8002 Ph: (808) 966-7453 | Central Coast Treatment Center 508 Higueroa St San Luis Obispo CA 93401 Ph: (805) 688-5057 |
| NPI Number | 1528150711 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 03/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528150711 | NPI | - | NPPES |
| 803421070 | Other | CA | TAXID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC29341 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | MFC50208 (California) | Secondary |
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