Organization
GOOD SAMARITAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MICHELLE FLORES (DIRECTOR OF TREATMENT)
(805) 346-8185
Entity
Organization
Contact information
Practice address
104 S C ST, A, LOMPOC, CA 93436-6924
(805) 736-0357
(800) 969-9350
Mailing address
104 S C ST, A, LOMPOC, CA 93436-6924
(805) 736-0357
(800) 969-9350
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/18/2014
Last updated
07/21/2022
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