Organization
GOOD SAMARITAN SHELTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA FLORES (DIRECTOR OF TREATMENT)
(805) 266-3747
Entity
Organization
Contact information
Practice address
608 W OCEAN AVE, LOMPOC, CA 93436-6630
(805) 736-0357
Mailing address
245 INGER DR # 103B, SANTA MARIA, CA 93454-8669
(805) 346-8185
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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