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NPI Code Detail

MEDICARE: OUR HEALING CENTER

MEDICARE: OUR HEALING CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number : 1568232361
Entity Type Code : Organization
Provider Name (Legal Business Name) : OUR HEALING CENTER
Provider Business Mailing Address
First Line : 225 ALTAIR AVE
Second Line :
City : LOMPOC
State : CA
Zip : 93436-1423
Country : US
Telephone Number : 805-415-4571
Fax Number :
Provider Business Practice Location Address
First Line : 225 ALTAIR AVE
Second Line :
City : LOMPOC
State : CA
Zip : 93436-1423
Country : US
Telephone Number : 805-415-4571
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR/HEAD OF SERVICES
Name : MARICELA ROMERO
Credential : LCSW
Telephone Number : 805-415-4571
Provider Enumeration Date : 01/03/2024
Last Update Date : 01/03/2024

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Directions to “OUR HEALING CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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