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155 E Wilbur Rd Thousand Oaks CA 91360-7935 | |
| (833) 239-3552 | |
| (805) 777-9226 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 155 E Wilbur Rd, Thousand Oaks, California |
| Authorized Official Name and Position | Julie Lovier (BILLING MANAGER) |
| Authorized Official Contact | 8058521267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
155 E Wilbur Rd Thousand Oaks CA 91360-7935 Ph: (805) 852-1267 | 155 E Wilbur Rd Thousand Oaks CA 91360-7935 Ph: (833) 239-3552 |
| NPI Number | 1366935405 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 12/02/2024 |
| Certification Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366935405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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