Provider Demographics
NPI:1043067382
Name:MONTEREY HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:MONTEREY HEALTH SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-466-0493
Mailing Address - Street 1:4701 TELLER AVE STE 150D
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-8144
Mailing Address - Country:US
Mailing Address - Phone:949-466-0493
Mailing Address - Fax:
Practice Address - Street 1:10300 SADDLE RD
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6671
Practice Address - Country:US
Practice Address - Phone:949-466-0493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MONTEREY HEALTH HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-03
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health