| Organization Name: | SAN LUIS OBISPO |
| NPI Number: | 1043360191 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD WAYNE CURTIS (THERAPIST III) |
| Mailing Address: | 2178 Johnson Ave San Luis Obispo |
| State: | CA US |
| Postal Code: | 934014535 |
| Phone Number: | 8054616060 |
| Fax Number: | 8054616061 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 603351 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |