SUN STREET CENTERS NPI 1861850778

NPI Information

NPI: 1861850778
Provider Name: SUN STREET CENTERS
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1201 ECHO AVE
SEASIDE, CA
ZIP 93955
Phone: (831) 393-9316
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SUN STREET CENTERS is a substance abuse rehabilitation facility in Seaside, CA. The provider is 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. SUN STREET CENTERS NPI is 1861850778. The provider is registered as an organization entity type.

The provider's business location address is:

1201 ECHO AVE
SEASIDE, CA
ZIP 93955-719
Phone: (831) 393-9316
Fax: (831) 899-6565

The provider's authorized official is Gordon Horne .
The authorized official title is Clinical Supervisor and has the following contact phone number (831) 809-8176.

The enumeration date for this NPI number is 2/5/2016 and was last updated on 12/15/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3YR/2016	OTHER	CALIFORNIA	C.A.R.F. COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES
2	270003EN	OTHER	CALIFORNIA	STATE OF CALIFORNIA SUBSTANCE USE DISORDER LICENSE FOR OUTPATIENT

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

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