Vcbh-simivalley Children's Mental Health | |
3855 Alamo St Ste F Suite 2032 Simi Valley CA 93063-2110 | |
(805) 582-7507 | |
(805) 582-7514 |
Full Name | Vcbh-simivalley Children's Mental Health |
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Speciality | Community/behavioral Health |
Location | 3855 Alamo St Ste F, Simi Valley, California |
Authorized Official Name and Position | Jennifer Dougherty (CLINIC ADMINISTRATOR) |
Authorized Official Contact | 8055827507 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vcbh-simivalley Children's Mental Health 3855 Alamo St Ste F Suite 2032 Simi Valley CA 93063-2110 Ph: (805) 582-7507 | Vcbh-simivalley Children's Mental Health 3855 Alamo St Ste F Suite 2032 Simi Valley CA 93063-2110 Ph: (805) 582-7507 |
NPI Number | 1922120088 |
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Provider Enumeration Date | 04/06/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922120088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LCS9781 (California) | Primary |
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