Provider Demographics
NPI:1851736102
Name:COUNTY OF MONTEREY BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:COUNTY OF MONTEREY BEHAVIORAL HEALTH
Other - Org Name:SOLEDAD CLINIC
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:831-755-4545
Mailing Address - Street 1:359 GABILAN DR
Mailing Address - Street 2:
Mailing Address - City:SOLEDAD
Mailing Address - State:CA
Mailing Address - Zip Code:93960-3550
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:359 GABILAN DR
Practice Address - Street 2:
Practice Address - City:SOLEDAD
Practice Address - State:CA
Practice Address - Zip Code:93960-3550
Practice Address - Country:US
Practice Address - Phone:831-755-4545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health