Healthcare Provider Details

I. General information

NPI: 1245487305
Provider Name (Legal Business Name): VENTURA COUNTY BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2008
Last Update Date: 08/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 WILLIAMS DR
OXNARD CA
93036-2612
US

IV. Provider business mailing address

1911 WILLIAMS DR
OXNARD CA
93036-2612
US

V. Phone/Fax

Practice location:
  • Phone: 805-981-9200
  • Fax: 805-981-9201
Mailing address:
  • Phone: 805-981-9200
  • Fax: 805-981-9201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name: MISS ANITA CATAPUSAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 805-981-9200