Basic Information
| Provider Information | |||||||||
| NPI: | 1003049933 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MONTEREY COUNTY BEHAVIORAL HEALTH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1270 NATIVIDAD RD RM 200 | ||||||||
| Address2: | |||||||||
| City: | SALINAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939063122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8317554510 | ||||||||
| FaxNumber: | 8314249808 | ||||||||
| Practice Location | |||||||||
| Address1: | 1441 CONSTITUTION BLVD STE 201 | ||||||||
| Address2: | |||||||||
| City: | SALINAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939063127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8317961657 | ||||||||
| FaxNumber: | 8317962841 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/26/2009 | ||||||||
| LastUpdateDate: | 08/26/2009 | ||||||||
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| AuthorizedOfficialLastName: | VEGA | ||||||||
| AuthorizedOfficialFirstName: | EZEQUIEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | ASSISTANT DIRECTOR, CFO | ||||||||
| AuthorizedOfficialTelephone: | 8317554510 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.