Diversified Intervention Group
NPI #1396150074 in Morro Bay, California
Provider Information
- NPI Number
- 1396150074
- Entity Type
- Organization
- Organization Name
- Diversified Intervention Group
- Primary Specialty
- Case Management
- Enumeration Date
- Jun 21, 2014
- Last Updated
- Jun 21, 2014
Practice Location
- Address
- 309 SEQUOIA ST
- City
- Morro Bay
- State
- California
- ZIP Code
- 93442-1409
- Phone
- (805) 602-0681
Authorized Official
- Name
- MR. EDWARD ALLEN SALAN
- Title
- FOUNDING DIRECTOR
- Phone
- (805) 602-0681
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Case Management |
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