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828 W Ventura St Suite 250 Fillmore CA 93015-1876 | |
| (805) 524-8644 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 828 W Ventura St, Fillmore, California |
| Authorized Official Name and Position | Karen Lee (QUALITY CARE MANAGEMENT) |
| Authorized Official Contact | 8059816830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1911 Williams Dr Ste 200 Oxnard CA 93036-0673 Ph: (805) 981-5478 | 828 W Ventura St Suite 250 Fillmore CA 93015-1876 Ph: (805) 524-8644 |
| NPI Number | 1013129782 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 05/30/2023 |
| Certification Date | 05/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013129782 | NPI | - | NPPES |
| 56AH | Other | CA | PIMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Empower Bright Minds Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 356 Bridlewood Ln, Fillmore, CA 93015 Phone: 818-534-6158 | |
Life Center Of America Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 River St, Fillmore, CA 93015 Phone: 559-237-0072 | |
Ventura County Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 828 W Ventura St Ste 240, Fillmore, CA 93015 Phone: 805-524-8660 Fax: 805-524-8655 | |