Organization
COAST VALLEY WORSHIP CENTER
Active
Other names
Coast Valley Substance Abuse Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HAMLIN MA (EXECUTIVE DIRECTOR)
(805) 739-1512
Entity
Organization
Contact information
Practice address
133 N F ST, STE A, LOMPOC, CA 93436-6033
(805) 735-7525
(805) 737-0524
Mailing address
133 N F ST, STE A, LOMPOC, CA 93436-6033
(805) 735-7525
(805) 737-0524
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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