San Luis Obispo County Ccs
Clinic/Center, Rehabilitation in Paso Robles, CA. Organization (NPI-2).
NPI number1124100128
StatusActive
Last updated in NPPESJul 8, 2008
Details
- NPI
- 1124100128
- Entity type
- Organization (NPI-2)
- Legal business name
- San Luis Obispo County Ccs
- Organization subpart
- No
- Enumeration date
- Oct 19, 2006
- Last updated
- Jul 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
Practice location
2503 Beechwood Dr.Paso Robles, CA 93446
Phone 805-237-3048 · Fax 805-237-3108
Mailing address
2503 Beechwood Dr.Paso Robles, CA 93446
Phone 805-237-3048 · Fax 805-237-3108
Authorized official
Gail Freiler
Supervising Therapist
8052373048
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