| Palmer Drug Abuse Program Of Ventura County, Inc. | |
|
1048 W Ventura St Fillmore CA 93015-1758 | |
| (805) 482-1265 | |
| (805) 389-5295 |
| Full Name | Palmer Drug Abuse Program Of Ventura County, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1048 W Ventura St, Fillmore, California |
| Authorized Official Name and Position | Virginia Mary 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 Of Ventura County, Inc. Po Box 3212 Camarillo CA 93011-3212 Ph: (805) 482-1265 | Palmer Drug Abuse Program Of Ventura County, Inc. 1048 W Ventura St Fillmore CA 93015-1758 Ph: (805) 482-1265 |
| NPI Number | 1376663336 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376663336 | NPI | - | NPPES |
| 5673 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 560015GN (California) | Primary |
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