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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
450 ROSEWOOD AVENUE, SUITE 215, CAMARILLO, CA 93010-5914
(805) 482-1265
(805) 389-5295
Mailing address
1029 E SANTA PAULA ST, SANTA PAULA, CA 93060-2247
(805) 482-1265
(805) 389-5295
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
560015EN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5673
—
CA
Enumeration date
03/30/2007
Last updated
04/18/2016
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