Organization · Type 2 NPI

Sun Street Centers

Substance Abuse Rehabilitation Facility · San Luis Obispo, CA

NPI number 1346991973 Active

Practice location

34 Prado Road
San Luis Obispo, CA 93401

Fax (831) 753-5163

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Other substance abuse rehabilitation facility providers in San Luis Obispo

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NPI record

NPI: 1346991973
Entity type: Organization (Type 2)
Issued: Jan 14, 2022
Last updated: Feb 25, 2022
Status: Active
Subpart: Yes of Sun Street Centers

Other names

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Sun Street Centers · other name
Sun Street Centers · other name

Authorized official

Gordon William Horne, LAADC
Clinical Supervisor
(831) 809-8176

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346991973

Sun Street Centers's National Provider Identifier is 1346991973, issued on Jan 14, 2022. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Feb 25, 2022.