Provider Demographics
NPI:1013115468
Name:COUNTY OF SAN LUIS OBISPO DRUG AND ALCOHOL SERVICES
Entity type:Organization
Organization Name:COUNTY OF SAN LUIS OBISPO DRUG AND ALCOHOL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-788-2055
Mailing Address - Street 1:2945 MCMILLAN AVE
Mailing Address - Street 2:STE. 136
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-6766
Mailing Address - Country:US
Mailing Address - Phone:805-781-4275
Mailing Address - Fax:
Practice Address - Street 1:2945 MCMILLAN AVE
Practice Address - Street 2:STE. 136
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-6766
Practice Address - Country:US
Practice Address - Phone:805-781-4275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39753106H00000X
251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Not Answered251K00000XAgenciesPublic Health or Welfare