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Organization
VILLAGE COLLABORATION STATION, PC
Active
Organization
VILLAGE COLLABORATION STATION, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE SHAW MD (CEO)
(805) 479-7905
Entity
Organization
Contact information
Practice address
2721 E MAIN ST, VENTURA, CA 93003-2803
(805) 667-2841
(805) 948-2846
Mailing address
PO BOX 2312, CAMARILLO, CA 93011-2312
(805) 603-9237
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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