County of San Luis Obispo

NPI #1104246198 in Atascadero, California

Provider Information

NPI Number
1104246198
Entity Type
Organization
Organization Name
County of San Luis Obispo
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Apr 17, 2014
Last Updated
Apr 29, 2014

Practice Location

Address
3556 EL CAMINO REAL
ZIP Code
93422-2532
Phone
(805) 461-6080

Authorized Official

Name
M DAISY ILANO, M.D.
Title
MEDICAL DIRECTOR
Phone
(805) 781-4700

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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