| E-eshora Ccc, Inc. | |
|
601 E Ocean Ave Suite 20 Lompoc CA 93436-6937 | |
| (805) 743-1515 | |
| (805) 819-0942 |
| Full Name | E-eshora Ccc, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 601 E Ocean Ave, Lompoc, California |
| Authorized Official Name and Position | Linda J. Neutz (CHIEF EXECUTIVE OFFICER (CEO)) |
| Authorized Official Contact | 8057431515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E-eshora Ccc, Inc. 1324 Marigold Way Lompoc CA 93436-8204 Ph: (805) 743-1515 | E-eshora Ccc, Inc. 601 E Ocean Ave Suite 20 Lompoc CA 93436-6937 Ph: (805) 743-1515 |
| NPI Number | 1457743957 |
|---|---|
| Provider Enumeration Date | 02/20/2015 |
| Last Update Date | 03/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457743957 | NPI | - | NPPES |
| 1760686489 | Other | CA | COUNTY OF SANTA BARBARA ALCOHOL/DRUG & MENTAL HEALTH SERVICES MEDI-CAL PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CCS #15096 (California) | Primary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Secondary |
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