Organization
COUNTY OF VENTURA
Active
Other names
VCBH - Phoenix School
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN LEE (QUALITY CARE MANAGEMENT)
(805) 981-6830
Entity
Organization
Contact information
Practice address
500 AIRPORT WAY, CAMARILLO, CA 93010-8500
(805) 437-1407
(805) 437-1494
Mailing address
1911 WILLIAMS DR STE 200, OXNARD, CA 93036-0673
(805) 981-5478
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56CT
PIMS
CA
Enumeration date
06/09/2014
Last updated
09/18/2023
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