Organization · NPI-2

Channel Islands Rehab, LLC

Clinic/Center, Adult Mental Health · Ventura, CA

NPI number1639887326
StatusActive
Last updated in NPPESNov 29, 2024

Details

NPI
1639887326
Entity type
Organization (NPI-2)
Legal business name
Channel Islands Rehab, LLC
Organization subpart
Yes
Enumeration date
Nov 10, 2022
Certification date
Nov 29, 2024
Last updated
Nov 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes

Other names

  • Channel Islands Treatment (Doing Business As)

Practice location

4474 Market St Ste 505
Ventura, CA 93003-5812

Phone 805-218-0079 · Fax 805-834-0288

Mailing address

4744 Telephone Rd Ste 3
Ventura, CA 93003-5258

Phone 214-934-8999 · Fax 805-834-0288

Authorized official

Allison Hopkins
Ceo
2149348999

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