Provider Demographics
NPI:1356473862
Name:COUNTY OF MONTEREY
Entity Type:Organization
Organization Name:COUNTY OF MONTEREY
Other - Org Name:MONTEREY OUTPATIENT MH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MRT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-796-1653
Mailing Address - Street 1:299 12TH STREET,
Mailing Address - Street 2:SUITE A
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933
Mailing Address - Country:US
Mailing Address - Phone:831-647-7832
Mailing Address - Fax:831-647-7940
Practice Address - Street 1:299 12TH STREET,
Practice Address - Street 2:SUITE A
Practice Address - City:MARINA
Practice Address - State:CA
Practice Address - Zip Code:93933
Practice Address - Country:US
Practice Address - Phone:831-647-7832
Practice Address - Fax:831-647-7940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-10
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center