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Organization
PDAP OF VENTURA COUNTY, INC.
Active
Organization
PDAP OF VENTURA COUNTY, INC.
Active
Other names
Palmer Drug Abuse Program of Ventura County, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA MARY CONNELL MFT (EXECUTIVE DIRECTOR)
(805) 482-1265
Entity
Organization
Contact information
Practice address
940 E MAIN ST, SANTA PAULA, CA 93060-2714
(805) 525-6616
Mailing address
PO BOX 3212, CAMARILLO, CA 93011-3212
(805) 525-6616
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
560015CN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5673
—
CA
Enumeration date
03/30/2007
Last updated
08/22/2020
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