OrganizationActive
Balance Treatment Slo, Inc
NPI 1295110674 · Adult Mental Health Clinic/Center · San Luis Obispo, CA
Provider details
- NPI number
- 1295110674
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Cusack, Cfo(323) 646-9271
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Psychiatric Hospital283Q00000X
Hospitals
Practice location
1551 Bishop St
Ste 130a
San Luis Obispo, CA 93401-4635
Phone: (805) 441-7566
Approximate (ZIP-level) locationGet directions
Mailing address
4505 Las Virgenes Rd
Calabasas, CA 91302-1956
Registry dates
- Enumerated
- 2015-07-27
- Last updated
- 2016-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.