| Community Memorial Integrated Behavioral Health | |
|
4080 Loma Vista Rd Ste F Ventura CA 93003-1811 | |
| (805) 667-2841 | |
| Not Available |
| Full Name | Community Memorial Integrated Behavioral Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4080 Loma Vista Rd Ste F, Ventura, California |
| Authorized Official Name and Position | Richard A Reisman (CEO/PRESIDENT) |
| Authorized Official Contact | 8056438695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Memorial Integrated Behavioral Health 5855 Olivas Park Dr Ventura CA 93003-7672 Ph: () - | Community Memorial Integrated Behavioral Health 4080 Loma Vista Rd Ste F Ventura CA 93003-1811 Ph: (805) 667-2841 |
| NPI Number | 1194505230 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 10/11/2024 |
| Certification Date | 10/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194505230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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