| Cuyama Valley High School Telehealth | |
|
7670 Cuyama Hwy New Cuyama CA 93254-0401 | |
| (805) 555-5555 | |
| Not Available |
| Full Name | Cuyama Valley High School Telehealth |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 7670 Cuyama Hwy, New Cuyama, California |
| Authorized Official Name and Position | Tammy Casiano (QCM COORDINATOR / DESIGNEE) |
| Authorized Official Contact | 8053255905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cuyama Valley High School Telehealth 5385 Hollister Ave Bldg 14 Santa Barbara CA 93111-2389 Ph: () - | Cuyama Valley High School Telehealth 7670 Cuyama Hwy New Cuyama CA 93254-0401 Ph: (805) 555-5555 |
| NPI Number | 1720663271 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 08/23/2021 |
| Certification Date | 08/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720663271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Cac Cuyama Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Ca-166, New Cuyama, CA 93254 Phone: 661-766-2759 Fax: 661-766-2783 |