Organization
SET FREE DRUG & ALCOHOL TREATMENT CENTERS OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELI KORNMILLER (ONBOARDING SUPERVISOR)
(561) 672-8345
Entity
Organization
Contact information
Practice address
3069 CISCO CT, SIMI VALLEY, CA 93063-1809
(805) 584-9605
Mailing address
3069 CISCO CT, SIMI VALLEY, CA 93063-1809
(805) 584-9605
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
560051AP
CA
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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