Organization
ALCOHOL DRUG AND MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI HINKENS (MENTAL HEALTH PRACTITIONER INTERN)
(805) 737-6663
Entity
Organization
Contact information
Practice address
117 N B ST, LOMPOC, CA 93436-6901
(805) 737-6663
Mailing address
1511 SAN MIGUELITO RD, LOMPOC, CA 93436-9742
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
06/13/2008
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