Provider Demographics
NPI:1801663497
Name:SAN LUIS OBISPO COUNTY CHILD ABUSE PREVENTION COUNCIL
Entity type:Organization
Organization Name:SAN LUIS OBISPO COUNTY CHILD ABUSE PREVENTION COUNCIL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KAROLYN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KINSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-466-5404
Mailing Address - Street 1:7343 EL CAMINO REAL # 346
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-4697
Mailing Address - Country:US
Mailing Address - Phone:805-466-5404
Mailing Address - Fax:
Practice Address - Street 1:3480 S HIGUERA ST STE 100
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-7392
Practice Address - Country:US
Practice Address - Phone:805-466-5404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes405300000XOther Service ProvidersPrevention ProfessionalGroup - Single Specialty