| Organization Name: | SAN LUIS OBISPO COUNTY CCS |
| NPI Number: | 1124100128 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GAIL FREILER (SUPERVISING THERAPIST) |
| Mailing Address: | 2503 Beechwood Dr. Paso Robles |
| State: | CA US |
| Postal Code: | 93446 |
| Phone Number: | 8052373048 |
| Fax Number: | 8052373108 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 07/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |