Diversified Intervention Group
Case Management in Morro Bay, CA. Organization (NPI-2).
NPI number1396150074
StatusActive
Last updated in NPPESJun 21, 2014
Details
- NPI
- 1396150074
- Entity type
- Organization (NPI-2)
- Legal business name
- Diversified Intervention Group
- Organization subpart
- No
- Enumeration date
- Jun 21, 2014
- Last updated
- Jun 21, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
309 Sequoia StMorro Bay, CA 93442-1409
Phone 805-602-0681
Mailing address
309 Sequoia StMorro Bay, CA 93442-1409
Phone 805-602-0681
Authorized official
Edward Allen Salan
Founding Director
8056020681
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