Provider Demographics
NPI:1134262165
Name:ZONA SECA YOUTH & FAMILY TREATMENT CENTER
Entity type:Organization
Organization Name:ZONA SECA YOUTH & FAMILY TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:DELUNA
Authorized Official - Last Name:SOLORIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-740-9799
Mailing Address - Street 1:218 N I ST
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-0909
Mailing Address - Country:US
Mailing Address - Phone:805-740-9799
Mailing Address - Fax:805-740-2799
Practice Address - Street 1:218 N I ST
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-0909
Practice Address - Country:US
Practice Address - Phone:805-740-9799
Practice Address - Fax:805-740-2799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA420025AN305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization