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2575 Wagon Wheel Rd Oxnard CA 93036-1165 | |
| (805) 988-1112 | |
| (805) 988-4883 |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2575 Wagon Wheel Rd, Oxnard, California |
| Authorized Official Name and Position | Milli Atlee Kelly (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8059881112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2575 Wagon Wheel Rd Oxnard CA 93036-1165 Ph: (805) 988-1112 | 2575 Wagon Wheel Rd Oxnard CA 93036-1165 Ph: (805) 988-1112 |
| NPI Number | 1821117672 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821117672 | NPI | - | NPPES |
| 01862 | Other | CA | ADDICTION SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 01862 (California) | Primary |
Psychological Services For Families Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 E Esplanade Dr, Suite 860, Oxnard, CA 93036 Phone: 805-278-1997 Fax: 805-278-2295 | |
Ventura County Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1911 Williams Dr, Suite 200, Oxnard, CA 93036 Phone: 805-306-1892 | |