Provider Demographics
NPI:1699188706
Name:COMMUNITY HUMAN SERVICES
Entity Type:Organization
Organization Name:COMMUNITY HUMAN SERVICES
Other - Org Name:OUTPATIENT TREATMENT CENTER MONTEREY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MC CRAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-658-3811
Mailing Address - Street 1:PO BOX 3076
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93942-3076
Mailing Address - Country:US
Mailing Address - Phone:831-658-3811
Mailing Address - Fax:831-658-3815
Practice Address - Street 1:2511 GARDEN RD STE A165
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5377
Practice Address - Country:US
Practice Address - Phone:831-383-7800
Practice Address - Fax:831-658-3815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-05
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder