Provider Demographics
NPI:1730343997
Name:MHS LOMPOC/NEW HEIGHTS-CONNECTIONS
Entity type:Organization
Organization Name:MHS LOMPOC/NEW HEIGHTS-CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY SUPPORT PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SAYNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-865-1950
Mailing Address - Street 1:646 N H ST
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-4519
Mailing Address - Country:US
Mailing Address - Phone:805-865-1950
Mailing Address - Fax:
Practice Address - Street 1:646 N H ST
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-4519
Practice Address - Country:US
Practice Address - Phone:805-865-1950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health