Organization
COAST VALLEY WORSHIP CENTER
Active
Other names
Coast Valley Substance Abuse Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATT HAMLIN MA, (EXECUTIVE DIRECTOR)
(805) 739-1512
Entity
Organization
Contact information
Practice address
1133 N H ST, STE F, LOMPOC, CA 93436-3368
(805) 739-1512
(805) 349-2855
Mailing address
1133 N H ST, STE F, LOMPOC, CA 93436-3368
(805) 739-1512
(805) 349-2855
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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