Provider Demographics
NPI:1457484362
Name:MONTEREY COUNTY ALCOHOL AND OTHER DRUG SERVICES
Entity Type:Organization
Organization Name:MONTEREY COUNTY ALCOHOL AND OTHER DRUG 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 1:115 CAYUGA ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2626
Mailing Address - Country:US
Mailing Address - Phone:831-796-3066
Mailing Address - Fax:831-751-6771
Practice Address - Street 1:115 CAYUGA ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2626
Practice Address - Country:US
Practice Address - Phone:831-796-3066
Practice Address - Fax:831-751-6771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder