Provider Demographics
NPI:1073645586
Name:COUNTY OF MONTEREY BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:COUNTY OF MONTEREY BEHAVIORAL HEALTH
Other - Org Name:CSOC FAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL RECORDS
Authorized Official - Prefix:
Authorized Official - First Name:AVAMASAG
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-755-4545
Mailing Address - Street 1:1611 BUNKER HILL WAY STE 120
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-6006
Mailing Address - Country:US
Mailing Address - Phone:831-755-4545
Mailing Address - Fax:831-755-4350
Practice Address - Street 1:1000 S MAIN STREET
Practice Address - Street 2:SUITE 105/210B/311
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2352
Practice Address - Country:US
Practice Address - Phone:831-784-2100
Practice Address - Fax:831-784-2127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-10
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty