Organization · NPI-2

Channel Islands Rehab, LLC

Clinic/Center, Adult Mental Health · Ventura, CA

NPI number1912653155
StatusActive
Last updated in NPPESJan 15, 2025

Details

NPI
1912653155
Entity type
Organization (NPI-2)
Legal business name
Channel Islands Rehab, LLC
Organization subpart
Yes
Enumeration date
Feb 25, 2022
Certification date
Jan 15, 2025
Last updated
Jan 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Other names

  • Channel Islands Mental Health (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 3-248
Ventura, CA 93003-5244

Phone 214-934-8999 · Fax 805-834-0288

Authorized official

Allison Hopkins
Ceo
2149348999

Is something wrong?

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