Provider Demographics
NPI:1073630539
Name:INTERIM, INCORPORATED
Entity Type:Organization
Organization Name:INTERIM, INCORPORATED
Other - Org Name:INTERIM OMNI RESOURCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RHIYAN
Authorized Official - Middle Name:ARAFILES
Authorized Official - Last Name:QUITON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-649-4522
Mailing Address - Street 1:339 PAJARO ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3400
Mailing Address - Country:US
Mailing Address - Phone:831-649-4522
Mailing Address - Fax:831-647-9136
Practice Address - Street 1:339 PAJARO ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3400
Practice Address - Country:US
Practice Address - Phone:831-649-4522
Practice Address - Fax:831-647-9136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2783Medicaid