Organization
VISTA/VOICE PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA HAASETH (CASE MANAGER)
(805) 642-7732
Entity
Organization
Contact information
Practice address
5810 RALSTON ST FL 2, VENTURA, CA 93003-5908
(805) 642-7033
Mailing address
5810 RALSTON ST FL 2, VENTURA, CA 93003-5908
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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