| Palmer Drug Abuse Program | |
|
2304 Antonio Ave Camarillo CA 93010-1415 | |
| (805) 482-1265 | |
| (805) 389-5295 |
| Full Name | Palmer Drug Abuse Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2304 Antonio Ave, Camarillo, California |
| Authorized Official Name and Position | Virginia M. Connell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8054821265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmer Drug Abuse Program 450 Rosewood Ave Camarillo CA 93010-5914 Ph: (805) 482-1265 | Palmer Drug Abuse Program 2304 Antonio Ave Camarillo CA 93010-1415 Ph: (805) 482-1265 |
| NPI Number | 1457657421 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 02/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457657421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 560015BN (California) | Primary |
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