Organization
STILLWATER BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS MATHEWS (CEO)
(503) 791-3205
Entity
Organization
Contact information
Practice address
2016 NAVY ST, SANTA MONICA, CA 90405-5946
(503) 791-3205
Mailing address
19528 VENTURA BLVD # 383, TARZANA, CA 91356-2917
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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