Organization
ALTERNATIVE ACTION PROGRAM
Active
Other names
DMG and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MILLI ATLEE KELLY MS (CLINICAL DIRECTOR)
(805) 988-1112
Entity
Organization
Contact information
Practice address
2575 WAGON WHEEL RD, OXNARD, CA 93036-1165
(805) 988-1112
(805) 988-4883
Mailing address
2575 WAGON WHEEL RD, OXNARD, CA 93036-1165
(805) 988-1112
(805) 988-4883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01862
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01862
ADDICTION SERVICES
CA
Enumeration date
03/29/2007
Last updated
06/12/2008
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