County of San Luis Obispo

NPI #1639411440 in Nipomo, California

Provider Information

NPI Number
1639411440
Entity Type
Organization
Organization Name
County of San Luis Obispo
Primary Specialty
Clinic/Center
Enumeration Date
Mar 19, 2013
Last Updated
Mar 31, 2014

Practice Location

Address
525 N THOMPSON AVE
City
Nipomo
ZIP Code
93444-9086
Phone
(805) 781-4753

Authorized Official

Name
DR. STARLENE M GRABER, PHD, LMFT
Title
DIVISION MANAGER
Phone
(805) 781-4753

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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