Provider Demographics
NPI:1023569415
Name:MONTEREY COUNTY BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:MONTEREY COUNTY BEHAVIORAL HEALTH
Other - Org Name:AS INTEGRATED CARE ALISAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL RECORDS
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-755-4545
Mailing Address - Street 1:1441 CONSTITUTION BLVD
Mailing Address - Street 2:202
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-3100
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:559 E ALISAL ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93905-2516
Practice Address - Country:US
Practice Address - Phone:831-755-4545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center