Organization
CAMERON PARK REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAINA DONNER (MANAGER)
(310) 343-8684
Entity
Organization
Contact information
Practice address
4120 CAMERON PARK DR STE 403, CAMERON PARK, CA 95682-7287
(310) 343-8684
Mailing address
4120 CAMERON PARK DR STE 403, CAMERON PARK, CA 95682-7287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
11/01/2023
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