Provider Demographics
NPI:1235261744
Name:MONTEREY COUNTY BEHAVIORAL HEALTH MONTEREY CHILDREN'S SERVICES
Entity Type:Organization
Organization Name:MONTEREY COUNTY BEHAVIORAL HEALTH MONTEREY CHILDREN'S SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:EZEQUIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-755-4510
Mailing Address - Street 1:2150 GARDEN RD
Mailing Address - Street 2:SUITE B1
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-5327
Mailing Address - Country:US
Mailing Address - Phone:831-657-1360
Mailing Address - Fax:831-657-1378
Practice Address - Street 1:2150 GARDEN RD
Practice Address - Street 2:SUITE B1
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5327
Practice Address - Country:US
Practice Address - Phone:831-657-1360
Practice Address - Fax:831-657-1378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health