NPI 1063121523

Good Samaritan

Organisation Supports Brokerage Agency Santa Maria, CA

Practice location

Address: 400 W Park Ave, Santa Maria, CA 93458-6116
Phone: (805) 623-5304

Authorised official

Name: Chelsea Laurel Jensen
Title: Mental Health Director
Phone: (805) 347-3338

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in California →

Registry record

NPI: 1063121523
Entity type: Organization
NPI issued: 23 Nov 2022
Record last updated: 23 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.