Individual
DEREK MOHAMMAD MCCRARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
627 RICHMOND AVE, OXNARD, CA 93030
(805) 285-2099
Mailing address
345 W RODERICK AVE, OXNARD, CA 93030-4329
(805) 758-7554
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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