Organization
BH-VC OPCO SP, LLC
Active
Other names
Jackson House Santa Paula
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD ENGBRECHT (CHIEF DEVELOPMENT OFFICER)
(858) 254-2510
Entity
Organization
Contact information
Practice address
811 W TELEGRAPH RD, SANTA PAULA, CA 93060-5400
(619) 889-3399
Mailing address
7050 PARKWAY DR, LA MESA, CA 91942-1535
(858) 254-2510
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
01/11/2024
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