| NPI | 1184352056 |
|---|---|
| Doing Business As | SHORELINE MIDDLE SCHOOL |
| Entity Type | Organization |
| Authorized Contact | RUTH JASSO Revenue Cycle Manager 831-427-3500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |