| Village Collaboration Station, Pc | |
|
2721 E Main St Ventura CA 93003-2803 | |
| (805) 667-2841 | |
| (805) 948-2846 |
| Full Name | Village Collaboration Station, Pc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2721 E Main St, Ventura, California |
| Authorized Official Name and Position | Danielle Shaw (CEO) |
| Authorized Official Contact | 8054797905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Collaboration Station, Pc Po Box 2312 Camarillo CA 93011-2312 Ph: (805) 603-9237 | Village Collaboration Station, Pc 2721 E Main St Ventura CA 93003-2803 Ph: (805) 667-2841 |
| NPI Number | 1184342081 |
|---|---|
| Provider Enumeration Date | 08/16/2022 |
| Last Update Date | 08/16/2022 |
| Certification Date | 08/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184342081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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