Organization
AUGUST WEST FAMILY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MICHAEL HARRISON CADC II; ICADC (CLINICAL DIRECTOR)
(831) 786-8991
Entity
Organization
Contact information
Practice address
2785 GOLF CIR, ROYAL OAKS, CA 95076-5465
(831) 786-8991
(831) 786-8991
Mailing address
PO BOX 669, CAPITOLA, CA 95010-0669
(831) 786-8991
(831) 786-8991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A8512805
CA
324500000X
Substance Abuse Rehabilitation Facility
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Other
Enumeration date
11/05/2009
Last updated
08/30/2012
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