Sun Street Centers
NPI #1265923437 in King City, California
Provider Information
- NPI Number
- 1265923437
- Entity Type
- Organization
- Organization Name
- Sun Street Centers
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUN STREET CENTERS
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- May 23, 2018
- Last Updated
- Jun 11, 2019
Practice Location
- Address
- 641 BROADWAY ST
- City
- King City
- State
- California
- ZIP Code
- 93930-3231
- Phone
- (831) 525-8101
Authorized Official
- Name
- GORDON WILLIAM HORNE, LAADC-CA # LCI017011
- Title
- CLINICAL SUPERVISOR
- Phone
- (831) 809-8176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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