Organization
LADIES RECOVERY 4 LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA J. NEUTZ MA CATC CCS #15096 (CLINICAL SUPERV./SUPERVISING CSLR.)
(805) 743-1515
Entity
Organization
Contact information
Practice address
115 N D ST, STREET, UNIT A, LOMPOC, CA 93436-6911
(805) 588-4410
(805) 819-0942
Mailing address
115 N D ST, STREET, UNIT A, LOMPOC, CA 93436-6911
(805) 588-4410
(805) 819-0942
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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