San Lui Obispo Center For Change

LBN: San Lui Obispo Center For Change
San Lui Obispo Center For Change is an health care organization with primary practice located at 285 South St Suite M, San Luis Obispo CA 93401-5037. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. San Lui Obispo Center For Change can be contacted via phone (805) 544-2892, or through Morgan, Stephanie Lynn via phone (805) 544-2892.

Contact Information

Primary practice address
285 South St Suite M San Luis Obispo CA 93401-5037
Phone: (805) 544-2892
Fax: (805) 544-2887
Website:
Map and Directions
Authorized official contact:
Name: Morgan, Stephanie Lynn
Phone: (805) 544-2892

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1841471943
LBN Legal business name San Lui Obispo Center For Change
DBA Doing business as
Authorized official Morgan, Stephanie Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2007
Last updated Nov 16th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841471943 NPPES
California MEDICAID 50361

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