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CAC OAK VALLEY CENTER NPI 1023533692


NPI Information

NPI: 1023533692
Provider Name: CAC OAK VALLEY CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
595 2ND ST RM 109
BUELLTON, CA
ZIP 93427
Phone: (805) 688-6992
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CAC OAK VALLEY CENTER is a mental health counselor in Buellton, CA. CAC OAK VALLEY CENTER NPI is 1023533692. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

595 2ND ST RM 109
BUELLTON, CA
ZIP 93427-801
Phone: (805) 688-6992

The provider's authorized official is David Laurel Scott .
The authorized official title is Clinical Services Director and has the following contact phone number (805) 260-4676.

The enumeration date for this NPI number is 8/4/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health28718CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11457553174MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.