| Palmer Drug Abuse Program Of Ventura County | |
|
196 N Ashwood Ave Ventura CA 93003-1810 | |
| (805) 482-1265 | |
| (805) 389-5295 |
| Full Name | Palmer Drug Abuse Program Of Ventura County |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 196 N Ashwood Ave, Ventura, 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 Po Box 3212 Camarillo CA 93011-3212 Ph: (805) 482-1265 | Palmer Drug Abuse Program Of Ventura County 196 N Ashwood Ave Ventura CA 93003-1810 Ph: (805) 482-1265 |
| NPI Number | 1003936063 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003936063 | NPI | - | NPPES |
| 5673 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 560015FN (California) | Primary |
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